Individual
RONETH MARIA IBARRA BERSALONA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
405 W 5TH ST, SANTA ANA, CA 92701-4599
(714) 834-3101
Mailing address
3345 W THORNTON AVE, ANAHEIM, CA 92804-4714
(510) 690-7650
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
718212
CA
Other
Enumeration date
01/08/2024
Last updated
01/08/2024
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