Individual
ISAGANI NAZARENO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
1161 E COVINA BLVD, COVINA, CA 91724-1523
(626) 966-1632
(626) 331-1716
Mailing address
1161 E COVINA BLVD, COVINA, CA 91724-1523
(626) 214-2026
(626) 331-1716
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
659953
CA
Other
Enumeration date
12/19/2019
Last updated
12/19/2019
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