Individual
ANGELA LUCAS TITO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
8 GLORIETA E, IRVINE, CA 92620-1849
(812) 455-5003
Mailing address
1290 N COAST HWY, APT. A, LAGUNA BEACH, CA 92651-1339
(812) 455-5003
Taxonomy
Speciality
Code
Description
License number
State
163WN0002X
Neonatal Intensive Care Registered Nurse
Primary
70312
CA
Other
Enumeration date
04/12/2012
Last updated
04/12/2012
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