Individual
INGRID G ARENAS BAUTISTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
275 VICTORIA ST STE 1H, COSTA MESA, CA 92627-1906
(949) 629-2862
Mailing address
275 VICTORIA ST STE 1H, COSTA MESA, CA 92627-1906
(949) 629-2862
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
737383
CA
Other
Enumeration date
02/14/2024
Last updated
02/14/2024
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