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WILBERT TIRTADINATA

Certified Registered Nurse Anesthetist

NPI: 1578177630IndividualAccepts Medicare

Specialties, Licenses & Credentials

Certified Registered Nurse AnesthetistPrimary

Nurse Anesthetist, Certified Registered

Code: 367500000X

95002000(CA)

CMS Specialties

PrimaryCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)

Education

OTHER

Class of 2022

Contact & Hours

Address
3600 BROADWAY
OAKLAND, CA 94611

Quick Facts

NPI
1578177630
Entity Type
Individual
Gender
Male
Medicare
Accepted
Specialties
1
Locations
1
Years in Practice
4

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