Individual
MR. LOUIS HUMBERTO GRASS III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
937 FRANKLIN BLVD, LEMOORE, CA 93246-4700
(559) 998-2648
Mailing address
PO BOX 555191, CAMP PENDLETON, CA 92055-5191
(760) 685-1296
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
631223
CA
163WF0300X
Flight Registered Nurse
RN 3218152
FL
367500000X
Certified Registered Nurse Anesthetist
87789
FL
367500000X
Certified Registered Nurse Anesthetist
APRN3218152
FL
367500000X
Certified Registered Nurse Anesthetist
Primary
NA95001504
CA
Other
Enumeration date
01/19/2012
Last updated
11/22/2024
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