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Individual

MRS. MARISA NICOLE HORST

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
11234 ANDERSON ST, LOMA LINDA, CA 92354-2804
(909) 558-4410
Mailing address
27279 DAYTON LN, TEMECULA, CA 92591-4457
(951) 264-7324

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
618935
CA

Other

Enumeration date
08/01/2012
Last updated
08/01/2012
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