Individual
DUSTIN GRINER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
305 DUANE AVE, SAN GABRIEL, CA 91775-2814
(801) 367-1929
Mailing address
305 DUANE AVE, SAN GABRIEL, CA 91775-2814
(801) 367-1929
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
726371
CA
Other
Enumeration date
07/13/2010
Last updated
07/13/2010
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