Organization
ROBERT FORD CRNA PROFESSIONAL NURSING CORPORATION
Active
Organization
ROBERT FORD CRNA PROFESSIONAL NURSING CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT H FORD CRNA (INCORPORATOR)
(559) 897-2505
Entity
Organization
Contact information
Practice address
1141 ROSE AVE, SELMA, CA 93662-3241
(559) 891-2250
Mailing address
1995 BERGREN CT, KINGSBURG, CA 93631-2705
(559) 897-2505
(909) 985-3858
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
NA1271
CA
Other
Enumeration date
08/06/2007
Last updated
08/06/2007
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