Individual
MR. MARC EVERETT CODE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
C.R.N.A.
Contact information
Practice address
2336 SANTA MONICA BLVD, SUITE 204, SANTA MONICA, CA 90404-2095
(310) 453-4477
Mailing address
PO BOX 2576, ATASCADERO, CA 93423-2576
(805) 461-0245
(805) 244-9255
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
2350
CA
Other
Enumeration date
07/27/2006
Last updated
07/08/2007
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