Individual
CARLOS A VASQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
4150 V ST, PSSB STE 1200 UCDMC DEPT ANESTHESIOLOGY AND PAIN MED, SACRAMENTO, CA 95817-1460
(916) 734-5028
(916) 734-2975
Mailing address
4150 V ST, PSSB STE 1200 UCDMC DEPT ANESTHESIOLOGY AND PAIN MED, SACRAMENTO, CA 95817-1460
(916) 734-5028
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
95000088
CA
367500000X
Certified Registered Nurse Anesthetist
RN2260081
MA
390200000X
Student in an Organized Health Care Education/Training Program
RN2260081
MA
Other
Enumeration date
04/18/2012
Last updated
05/20/2014
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