Organization
VIGILANCE ANESTHESIA SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ISIOMA LEANNE AGHACHI CRNA (CEO)
(248) 686-4399
Entity
Organization
Contact information
Practice address
25742 SKYE CT, FARMINGTON HILLS, MI 48336-1661
(248) 686-4399
Mailing address
25742 SKYE CT, FARMINGTON HILLS, MI 48336-1661
(248) 686-4399
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4704253863
MI
Other
Enumeration date
07/03/2016
Last updated
07/03/2016
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