Individual
CHARLENE WEITZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
C.R.N.A.
Contact information
Practice address
11362 WARNER AVE, FOUNTAIN VALLEY, CA 92708-4121
(714) 546-7676
Mailing address
11362 WARNER AVE, FOUNTAIN VALLEY, CA 92708-4121
(714) 546-7676
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
291035
CA
Other
Enumeration date
03/15/2011
Last updated
01/10/2012
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