Individual
MRS. KOKO CAMITA CANTRELL
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
USA MEDDAC. EVANS ARMY COMMUNITY HOSPITAL, ANESTHESIA DEPT, FORT CARSON, CO 80913-4604
(719) 526-7944
Mailing address
250 THAMES DR, COLORADO SPRINGS, CO 80906-5951
(719) 520-0874
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
125811
CO
Other
Enumeration date
01/26/2006
Last updated
07/08/2007
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