Individual
MRS. OLGA JANE C BANTIGUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
12238 EVEREST ST, NORWALK, CA 90650-2030
(562) 484-3023
Mailing address
12238 EVEREST STREET, NORWALK, CA 90650
(562) 484-3023
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
615693
CA
Other
Enumeration date
04/25/2012
Last updated
04/25/2012
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