Mateo Gennette Crna INC
Nurse Anesthetist, Certified Registered in Bakersfield, CA. Organization (NPI-2).
NPI number1982111456
StatusActive
Last updated in NPPESJan 5, 2018
Details
- NPI
- 1982111456
- Entity type
- Organization (NPI-2)
- Legal business name
- Mateo Gennette Crna INC
- Organization subpart
- No
- Enumeration date
- Jan 5, 2018
- Last updated
- Jan 5, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 95000160 | CA | Yes |
Practice location
901 Olive DrBakersfield, CA 93308-4137
Phone 661-399-4461 · Fax 661-399-7312
Mailing address
Po Box 2029Bakersfield, CA 93303-2029
Phone 661-335-7755 · Fax 661-335-7766
Authorized official
Sandy Reed
Manager
6613357755
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