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MARISA BEDFORD CRNA

>> Nurse Anesthetist, Certified Registered >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1285182162

Individual Registrant:
 MARISA  BEDFORD CRNA
Gender: F
Not Sole Proprietor

Location and contact information for practice:
2435 SAINT MORITZ DR  LODI, CA 95242-9602 US
Tel: 209-639-2901  Fax: --

Contact information for business:
2435 SAINT MORITZ DR  LODI, CA 95242-9602 US
Tel: 209-639-2901  Fax: --

Registration Information:
NPI: 1285182162
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y367500000XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Anesthetist, Certified Registered
CA95000574

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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