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Individual

ERIKA MARIA SUATENGCO FISHER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
5601 DE SOTO AVE, WOODLAND HILLS, CA 91367-6701
(805) 368-4624
Mailing address
4135 WADE ST, LOS ANGELES, CA 90066-5731
(805) 368-4624

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
776748
CA
367500000X
Certified Registered Nurse Anesthetist
Primary
95000639
CA

Other

Enumeration date
08/20/2016
Last updated
12/01/2021
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