Individual
ALEXANDER GASTEAZORO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5801 BREMO RD, RICHMOND, VA 23226-1907
(804) 285-2011
Mailing address
5001 LIBBIE MILL EAST BLVD APT 450, RICHMOND, VA 23230-2118
(540) 660-5146
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
0024189727
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/29/2023
Last updated
03/26/2024
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