Individual
UMA BHASKARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
3206 PONTIAC STREET, LA CRESCENTA, CA 91214
(818) 957-5718
Mailing address
3206 PONTIAC STREET, LA CRESCENTA, CA 91214
(818) 957-5718
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
108504
CA
Other
Enumeration date
12/03/2015
Last updated
12/03/2015
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