Individual
MARIA IMELDA BAUTISTA-DURAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2400 S FLOWER ST, LOS ANGELES, CA 90007-2629
(213) 742-1000
Mailing address
2400 S FLOWER ST, LOS ANGELES, CA 90007-2629
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
513943
CA
Other
Enumeration date
11/17/2011
Last updated
11/17/2011
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