Organization
MATEO GENNETTE CRNA INC
Active
Organization
MATEO GENNETTE CRNA INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANDY REED (MANAGER)
(661) 335-7755
Entity
Organization
Contact information
Practice address
901 OLIVE DR, BAKERSFIELD, CA 93308-4137
(661) 399-4461
(661) 399-7312
Mailing address
PO BOX 2029, BAKERSFIELD, CA 93303-2029
(661) 335-7755
(661) 335-7766
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
95000160
CA
Other
Enumeration date
01/05/2018
Last updated
01/05/2018
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