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Individual

IRINA BAZYUK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSN,RN,PHN, CSN

Contact information

Practice address
2707 TRANSWORLD DR, STOCKTON, CA 95206-3948
(209) 639-8269
Mailing address
2707 TRANSWORLD DR, STOCKTON, CA 95206-3948
(209) 639-8269

Taxonomy

Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
705524
CA

Other

Enumeration date
09/18/2024
Last updated
09/18/2024
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