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Individual

MICHELE CHERISE SONNTAG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
11234 ANDERSON ST, LOMA LINDA, CA 92354-2804
(866) 436-2098
Mailing address
11234 ANDERSON ST, LOMA LINDA, CA 92354-2804
(866) 436-2098

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
200743847RN
OR
163W00000X
Registered Nurse
697285
CA
367500000X
Certified Registered Nurse Anesthetist
Primary
4288
CA

Other

Enumeration date
05/12/2012
Last updated
08/08/2013
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