Individual provider · NPI-1

Venice Ababat

Registered Nurse, Oncology · Colton, CA

NPI number1083240881
StatusActive
Last updated in NPPESJan 19, 2021

Details

NPI
1083240881
Entity type
Individual (NPI-1)
Name
Venice Ababat
Sex
Female
Sole proprietor
No
Enumeration date
Mar 12, 2020
Certification date
Jan 19, 2021
Last updated
Jan 19, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
163WX0200X Registered Nurse, Oncology846515CAYes
363L00000X Nurse Practitioner95016242CA

Practice location

1449 Linville Ln
Colton, CA 92324-6720

Phone 909-835-8864

Mailing address

1449 Linville Ln
Colton, CA 92324-6720

Phone 909-835-8864

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