Organization
SAINT AGNES SPINE & SPECIALTY SURGERY, LLC
Active
Other names
Saint Agnes Spine & Specialty Surgery
Organization subpart
No
Provider details
NPI number
Authorized official
JENETHA D MORAN (AUTHORIZED OFFICIAL)
(972) 763-3893
Entity
Organization
Contact information
Practice address
2365 E FIR AVE, FRESNO, CA 93720-8016
(559) 797-9100
Mailing address
2365 E FIR AVE, FRESNO, CA 93720-8016
(559) 797-9100
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
04/30/2018
Last updated
04/30/2018
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