Individual
SHANE GARST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
207 W. LEGION RD., BRAWLEY, CA 92227-7780
(760) 351-3288
Mailing address
1660 SEATTLE SLEW WAY, OCEANSIDE, CA 92057-5621
(619) 788-4408
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
95000471
CA
Other
Enumeration date
01/28/2016
Last updated
03/16/2016
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