Individual
MR. BRAD A VIZCARRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
6600 BRUCEVILLE RD, SACRAMENTO, CA 95823-4671
(916) 688-2520
Mailing address
6113 NORTHERN LIGHTS WAY, ROCKLIN, CA 95765-4235
(559) 696-2355
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
542875
CA
Other
Enumeration date
01/02/2013
Last updated
01/03/2022
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