Individual
MRS. BARBARA JEANNE PROVENCE
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
RN CA 226378
Contact information
Practice address
26732 CROWN VALLEY PKWY, MISSION VIEJO, MISSION VIEJO, CA 92691-6306
(949) 364-1007
(949) 364-0317
Mailing address
24972 TREE AVE, MISSION VIEJO, MISSION VIEJO, CA 92691-3737
(949) 951-0094
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
226378
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
226378
RN
CA
Enumeration date
08/09/2005
Last updated
07/08/2007
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