Individual
MICHAEL PEARSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1796 TONINI DR, 59, SAN LUIS OBISPO, CA 93405-7458
(218) 590-4599
Mailing address
1796 TONINI DR, 59, SAN LUIS OBISPO, CA 93405-7458
(218) 590-4599
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
95000595
CA
Other
Enumeration date
10/30/2016
Last updated
10/30/2016
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