Individual
RICHARD ENRIQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8626 CRANFORD AVE, SUN VALLEY, CA 91352-2910
(818) 392-0863
Mailing address
8626 CRANFORD AVE, SUN VALLEY, CA 91352-2910
(818) 392-0863
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
95002022
CA
Other
Enumeration date
07/16/2021
Last updated
04/08/2023
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