Individual
MR. MARCO CRISTALES OLIVEROS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DNP, CRNA
Contact information
Practice address
2823 FRESNO ST, FRESNO, CA 93721-1324
(559) 459-4349
Mailing address
8839 N CEDAR AVE # B-4, FRESNO, CA 93720-1832
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
841042
CA
367500000X
Certified Registered Nurse Anesthetist
Primary
95002686
CA
Other
Enumeration date
06/13/2022
Last updated
04/16/2026
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