Individual
JOHNNY RAY GARZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
11234 ANDERSON ST, LOMA LINDA, CA 92354-2804
(909) 558-4000
Mailing address
2280 VISTA RIDGE CIR, NORCO, CA 92860-1184
(951) 532-9946
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
841347
CA
367500000X
Certified Registered Nurse Anesthetist
Primary
95000916
CA
Other
Enumeration date
04/02/2018
Last updated
05/11/2018
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