Individual
LOUIE AMPARO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
197 W LEGION RD, BRAWLEY, CA 92227-7727
(760) 351-3333
Mailing address
197 W LEGION RD, BRAWLEY, CA 92227-7727
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
95001459
CA
Other
Enumeration date
01/20/2021
Last updated
02/08/2021
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