Individual
IVANA MARIE LAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1470 E MIDDLE AVE, SAN MARTIN, CA 95046-9534
(669) 677-9358
Mailing address
5500 MING AVE STE 410, BAKERSFIELD, CA 93309-4631
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
95375846
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
95375846
LICENSE
CA
Enumeration date
04/30/2025
Last updated
04/30/2025
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