Individual
MARIO BARANDIARAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
11234 ANDERSON ST RM A504, LOMA LINDA, CA 92354-2804
(909) 558-7811
Mailing address
11234 ANDERSON ST RM A504, LOMA LINDA, CA 92354-2804
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
723230
CA
367500000X
Certified Registered Nurse Anesthetist
Primary
95001503
CA
Other
Enumeration date
09/27/2020
Last updated
02/18/2021
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