Individual
ANTHOVIE BERNARDO ISKAROUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
11003 LAKEWOOD BLVD, DOWNEY, CA 90241-3876
(562) 869-1038
Mailing address
4233 IRONWOOD AVE, SEAL BEACH, CA 90740-2965
(562) 881-9805
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
95023728
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
95023728
BOARD OF REGISTERED NURSING
CA
Enumeration date
01/25/2023
Last updated
05/16/2023
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