Organization
DIEGO INC.
Active
Other names
Mandrake CRNA Nursing Services, A Proffedional Corporation
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DIEGO ROMAN CAVENAGHI CRNA (CEO)
(951) 823-2413
Entity
Organization
Contact information
Practice address
400 W MINERAL KING AVE, VISALIA, CA 93291-6237
(559) 624-5050
(559) 909-4011
Mailing address
5250 LA CRESCENTA, YORBA LINDA, CA 92887-4012
(951) 823-2413
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
11/22/2021
Last updated
11/22/2021
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