Individual
FRAGRANCE BUMATAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
4525 E ATHERTON ST, LONG BEACH, CA 90815-3700
(562) 961-0155
(562) 961-0161
Mailing address
7601 EAST IMPERIAL HWY, DOWNEY, CA 90242-3456
(562) 401-6535
(562) 401-6535
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
CA
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
23118
CA
Other
Enumeration date
10/01/2013
Last updated
07/16/2021
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