Organization
CUSTOM ANESTHESIA AND NURSING SERVICES, INC
Active
Organization
CUSTOM ANESTHESIA AND NURSING SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MAYRA DANIELA CORONA (OFFICE MANAGER)
(855) 759-3633
Entity
Organization
Contact information
Practice address
1127 LOMA AVE, LONG BEACH, CA 90804-4008
(855) 759-3633
Mailing address
1127 LOMA AVE, LONG BEACH, CA 90804-4008
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
11/03/2017
Last updated
11/03/2017
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