Organization
LIEZLE AREVALO CRNA PROFESSIONAL NURSING ANESTHESIA INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LIEZLE AREVALO CRNA (PRESIDENT)
(310) 792-3914
Entity
Organization
Contact information
Practice address
900 E WASHINGTON ST STE 155, COLTON, CA 92324-4196
(909) 370-2190
Mailing address
PO BOX 3129, TORRANCE, CA 90510-3129
(310) 792-3914
(855) 898-4055
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
—
—
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
12/23/2021
Last updated
01/06/2022
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