Individual
MS. ANNA MARIE J BANTIGUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
16300 SAND CANYON AVE, 4TH FLOOR, IRVINE, CA 92618-3711
(949) 552-4200
(949) 262-2300
Mailing address
2742 DOW AVE, TUSTIN, CA 92780-7242
(714) 665-1600
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
434826
CA
Other
Enumeration date
04/17/2007
Last updated
10/15/2008
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