Individual
DR. MARICEL A. ISIDRO-REIGHARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1700 MOUNT VERNON AVE, ANESTHESIA DEPARTMENT, BAKERSFIELD, CA 93306-4018
(661) 578-7273
(661) 578-7273
Mailing address
PO BOX 7096, STOCKTON, CA 95267-0096
(209) 956-7725
(209) 956-7733
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
539231
CA
367500000X
Certified Registered Nurse Anesthetist
3527
CA
367500000X
Certified Registered Nurse Anesthetist
Primary
NA3527
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
RN0035270
—
CA
Enumeration date
08/17/2006
Last updated
01/18/2017
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