Individual
MRS. CAROL R BAHARI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
11611 ARROYO AVE, SANTA ANA, CA 92705-3002
(714) 269-5990
Mailing address
11611 ARROYO AVE, SANTA ANA, CA 92705-3002
(714) 269-5990
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
Primary
389901
CA
Other
Enumeration date
12/18/2012
Last updated
12/18/2012
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