Individual
DACIA C SUSLECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, RN, CRNA
Contact information
Practice address
1500 SAN PABLO ST, LOS ANGELES, CA 90033-5313
(323) 442-7400
Mailing address
PO BOX 31309, LOS ANGELES, CA 90031-0309
(323) 442-7400
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN74643
TN
367500000X
Certified Registered Nurse Anesthetist
0024175071
VA
367500000X
Certified Registered Nurse Anesthetist
APN11180
TN
367500000X
Certified Registered Nurse Anesthetist
Primary
NA95000653
CA
367500000X
Certified Registered Nurse Anesthetist
RN176836
GA
Other
Enumeration date
12/11/2006
Last updated
03/17/2018
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