Individual
MS. MIALYNE IBAY HIPOLITO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN REGISTERED NURSE
Contact information
Practice address
7428 BOTHWELL ROAD., RESEDA, CA 91335
(310) 733-0901
Mailing address
7428 BOTHWELL ROAD, RESEDA, CA 91335
(310) 733-0901
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
RNCA587630
CA
Other
Enumeration date
01/14/2015
Last updated
01/14/2015
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