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Organization

HOLLY TREE ANESTHESIA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SAMUEL A ACEBO CRNA (PRESIDENT)
(530) 370-6928
Entity
Organization

Contact information

Practice address
121 RALEY BLVD, CHICO, CA 95928-8347
(530) 370-6928
Mailing address
442 DOMINICA CT, REDDING, CA 96003-2814
(305) 243-0440
(530) 243-0445

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary

Other

Enumeration date
08/22/2022
Last updated
01/04/2024
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