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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