Individual
MR. GEOFFREY DEAN EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
10706 STAMFIELD DR, RANCHO CUCAMONGA, CA 91730-6605
(909) 483-0116
Mailing address
10706 STAMFIELD DR, RANCHO CUCAMONGA, CA 91730-6605
(909) 483-0116
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
549498
CA
163WC0200X
Critical Care Medicine Registered Nurse
549498
CA
Other
Enumeration date
06/06/2009
Last updated
06/06/2009
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