Individual
SUSAN LYNN DASTIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
401 BICENTENNIAL WAY, SANTA ROSA, CA 95403-2149
(707) 571-4000
Mailing address
3507 HANOVER PL, SANTA ROSA, CA 95404-7640
(707) 578-8821
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN3916680
CA
Other
Enumeration date
01/25/2007
Last updated
12/30/2021
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