Organization
PACWEST NURSING INC
Active
Organization
PACWEST NURSING INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK J HUNTER CRNA (PRESIDENT)
(805) 404-6761
Entity
Organization
Contact information
Practice address
4011 EAGLE FLIGHT DR, SIMI VALLEY, CA 93065-0224
(805) 404-6761
Mailing address
4011 EAGLE FLIGHT DR, SIMI VALLEY, CA 93065-0224
(805) 404-6761
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
2558
CA
Other
Enumeration date
02/13/2012
Last updated
02/13/2012
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