Individual
ELLEN MAE ALCANTARA DE VERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
4500 MORNING DR STE 102, BAKERSFIELD, CA 93306-7276
(661) 437-4140
Mailing address
12842 PALM ST PH 1, GARDEN GROVE, CA 92840-6427
(858) 519-4161
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
143616
CA
Other
Enumeration date
02/10/2023
Last updated
02/10/2023
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