Organization
SHAUN LEA CERTIFIED REGISTERED NURSING ANESTHETIST, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAUN LEA CRNA (PRESIDENT/CEO)
(702) 275-5181
Entity
Organization
Contact information
Practice address
11180 AVION RD, ATASCADERO, CA 93422-6155
(702) 275-5181
Mailing address
11180 AVION RD, ATASCADERO, CA 93422-6155
(702) 275-5181
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4361
CA
Other
Enumeration date
03/08/2016
Last updated
03/08/2016
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