Organization
TWILIGHT NURSING ANESTHESIA SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARRIE D MIKKELSON CRNA (CEO)
(310) 720-5289
Entity
Organization
Contact information
Practice address
1247 W BLOOMWOOD RD, RANCHO PALOS VERDES, CA 90275-1937
(310) 720-5289
Mailing address
1247 W BLOOMWOOD RD, RANCHO PALOS VERDES, CA 90275-1937
(310) 720-5289
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
10/21/2020
Last updated
10/21/2020
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