Individual
MR. AZEEZ OLAWALE SAKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA, FNP
Contact information
Practice address
1800 N CALIFORNIA ST, STOCKTON, CA 95204-6019
(209) 943-2000
Mailing address
7665 CHAPPELLE WAY, ELK GROVE, CA 95757-1688
(917) 392-3212
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN95086086
CA
363LF0000X
Family Nurse Practitioner
33 336713
NY
367500000X
Certified Registered Nurse Anesthetist
702312
NY
367500000X
Certified Registered Nurse Anesthetist
Primary
NA95000494
CA
Other
Enumeration date
09/03/2012
Last updated
06/24/2020
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