SONOMA AMBULATORY ANESTHESIA GROUP, INC.
Nursing at Sonoma Ave, Santa Rosa, CA

License number
California C3255198
Category
Nursing
Type
Nurse Anesthetist, Certified Registered
Owner
Name: MICHAEL T. MITCHELL
Title: BUSINESS MANAGER
Phone: (843) 651-2624
Address
Address 2
1210 Sonoma Ave STE. B, Santa Rosa, CA 95405
PO Box 4860, Garden City, SC 29576
National Provider ID: 1235400318
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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SONOMA AMBULATORY ANESTHESIA GROUP, INC

Santa Rosa, CA

Status:
Inactive
Industry:
Medical Doctor's Office
Registration:
Mar 25, 2010
Addresses:
4260 Los Olivos Ct, Santa Rosa, CA 95404 (Physical)
1210 Sonoma Ave, Santa Rosa, CA 95405
State ID:
C3255198
Business type:
Articles of Incorporation
Presidents:
Alexander Michael Lustberg (President),A. Michael Lustberg President, inactive

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