Individual
MARIFE BACANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2051 MARENGO ST, LOS ANGELES, CA 90033-1352
(626) 512-7824
Mailing address
2051 MARENGO ST, LOS ANGELES, CA 90033-1352
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
95100809
CA
Other
Enumeration date
04/06/2022
Last updated
05/16/2024
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