Individual
DAISY BAEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2272 PACIFIC AVE STE A, LONG BEACH, CA 90806-4312
(562) 507-2990
Mailing address
2272 PACIFIC AVE STE A, LONG BEACH, CA 90806-4312
(310) 525-7970
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
716225
CA
Other
Enumeration date
02/18/2021
Last updated
02/18/2021
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