Organization
IMPERIAL NURSING ANESTHESIA SERVICES PROF CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AUMNARD SAISEUBYAT CRNA (PRESIDENT)
(626) 665-9580
Entity
Organization
Contact information
Practice address
555 W PUTNAM AVE, PORTERVILLE, CA 93257-3286
(559) 788-0555
Mailing address
PO BOX 34120, RENO, NV 89533-4120
(775) 747-5050
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
10/10/2019
Last updated
10/18/2019
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