Individual
REBECCA IRVIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
911 N KEYSTONE ST, ANAHEIM, CA 92801-3527
(714) 772-3319
Mailing address
911 N KEYSTONE ST, ANAHEIM, CA 92801-3527
Taxonomy
Speciality
Code
Description
License number
State
163WW0000X
Wound Care Registered Nurse
Primary
293177
CA
Other
Enumeration date
04/07/2016
Last updated
04/07/2016
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