Organization
MVG ANESTHESIA INC A PROFESSIONAL NURSING CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARISSA VANGUILDER CRNA (OWNER)
(209) 404-5776
Entity
Organization
Contact information
Practice address
860 N OAK PARK BLVD SUITE 102, ARROYO GRANDE, CA 93420-1800
(805) 474-6383
Mailing address
860 N OAK PARK BLVD SUITE 102, ARROYO GRANDE, CA 93420-1800
(805) 474-6383
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
05/08/2023
Last updated
07/18/2023
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