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Individual

ALISSA JO THORBUS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
11234 ANDERSON ST, LOMA LINDA, CA 92354-2804
(909) 558-4475
Mailing address
55799 FILE NUMBER, LOS ANGELES, CA 90074-5779
(800) 326-6223

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN534848
CA

Other

Enumeration date
08/16/2006
Last updated
07/08/2007
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