Individual
SEBASTIAN BOY MISSION MADERAZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
2767 OLIVE HWY, OROVILLE, CA 95966-6118
(530) 533-8500
Mailing address
2767 OLIVE HWY, OROVILLE, CA 95966-6118
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
95107437
CA
367500000X
Certified Registered Nurse Anesthetist
Primary
95002379
CA
Other
Enumeration date
07/07/2021
Last updated
09/24/2024
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