Individual
MICHAEL DAVID ACQUISTAPACE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
11234 ANDERSON ST, LOMA LINDA, CA 92354-2804
(909) 558-4000
Mailing address
1000 CREEKSIDE DR, REDLANDS, CA 92373-6971
(909) 213-6832
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
653748
CA
163W00000X
Registered Nurse
RN0000170152
TN
367500000X
Certified Registered Nurse Anesthetist
Primary
NA4207
CA
Other
Enumeration date
01/12/2012
Last updated
10/05/2017
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