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Organization

ICARE ANESTHESIA SERVICES LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
IKE IYAMU CRNA (MANAGING MEMBER)
(573) 686-5550
Entity
Organization

Contact information

Practice address
1205 S TELSHOR BLVD, LAS CRUCES, NM 88011-4748
(573) 686-5550
Mailing address
2511 N WESTWOOD BLVD STE B, POPLAR BLUFF, MO 63901-2303
(573) 686-5550

Taxonomy

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

Other

Enumeration date
02/02/2022
Last updated
02/02/2022
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