Individual
SARAH FAITH DESLATE YAMANISHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9300 CAMPUS POINT DR, LA JOLLA, CA 92037-1300
(858) 249-6751
Mailing address
PO BOX 232410, SAN DIEGO, CA 92193-2410
(800) 926-8273
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
95001538
CA
367500000X
Certified Registered Nurse Anesthetist
RN290166
GA
Other
Enumeration date
12/17/2019
Last updated
04/14/2023
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