Individual
MICHAEL IMPERIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
11234 ANDERSON ST, LOMA LINDA, CA 92354-2804
(909) 558-4475
Mailing address
1754 PRAED ST, RIVERSIDE, CA 92503-6600
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4121
CA
Other
Enumeration date
12/06/2011
Last updated
12/06/2011
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