Individual
MR. JOHNNY BAIROS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
900 E WASHINGTON STREET #155, COLTON, CA 92324-4196
(951) 312-8034
Mailing address
429 MARILYN LANE, REDLANDS, CA 92373-7327
(951) 312-8034
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
3807
CA
Other
Enumeration date
09/24/2009
Last updated
11/06/2012
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