Individual
MS. ANNALISA AGNOTE MORAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
8312 E PRESERVE LOOP, CHINO, CA 91708-9328
(909) 393-0343
Mailing address
8312 E PRESERVE LOOP, CHINO, CA 91708-9328
(909) 393-0343
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
644893
CA
367500000X
Certified Registered Nurse Anesthetist
Primary
3811
CA
Other
Enumeration date
02/25/2009
Last updated
12/06/2021
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