Individual
MARISSA VANGUILDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
2615 CHESTER AVE, BAKERSFIELD, CA 93301-2014
(661) 395-3000
Mailing address
2602 ALLEGIANCE LN, RIVERBANK, CA 95367-9402
(209) 404-5776
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
728685
CA
367500000X
Certified Registered Nurse Anesthetist
Primary
95001184
CA
Other
Enumeration date
05/29/2019
Last updated
09/18/2019
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