Doctor Name: | MRS. SHANTALL LISETTE STROZIER |
NPI Number: | 1104214899 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CRNA, MS |
License Number: | 95000246 |
Business Practice Address: | 3207 S Anchovy Ave San Pedro, CA - 907324549 |
Business Phone Number: | 3103877018 |
Business Fax Number: | |
Mailing Address: | 3207 S Anchovy Ave, SAN PEDRO |
State: | CA |
Postal Code: | 907324549 |
Phone Number: | 3103877018 |
Fax Number: | |
NPI Enumeration Date: | 01/02/2015 |
NPI Last Update Date: | 01/02/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 282NC0060X |
License Number: | 95000246 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Hospitals |
Taxonomy Classification: | General Acute Care Hospital |
Taxonomy Specialization: | Critical Access |
Taxonomy Definition: |