Organization
NURSING INFUSION VITALITY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LOURDES SIBAL BAUTISTA PRESIDENT/CEO (RN BSN)
(818) 426-4892
Entity
Organization
Contact information
Practice address
21054 SHERMAN WAY STE 320, CANOGA PARK, CA 91303-4517
(747) 226-1230
(747) 226-1230
Mailing address
21054 SHERMAN WAY STE 320, CANOGA PARK, CA 91303-4517
(747) 226-1230
(747) 226-1230
Taxonomy
Speciality
Code
Description
License number
State
163WI0500X
Infusion Therapy Registered Nurse
Primary
—
—
Other
Enumeration date
01/10/2022
Last updated
01/10/2022
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