Individual
IRENE SERUYA AGUTU ODUOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
7819 DANNER CT, RANCHO CUCAMONGA, CA 91730-6866
(909) 528-2321
Mailing address
7819 DANNER CT, RANCHO CUCAMONGA, CA 91730-6866
(909) 528-2321
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
651191
CA
163WN0003X
Low-Risk Neonatal Registered Nurse
Primary
651191
CA
163WP0200X
Pediatric Registered Nurse
651191
CA
163WP1700X
Perinatal Registered Nurse
651191
CA
Other
Enumeration date
07/22/2024
Last updated
07/22/2024
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