Isabella Maryse Bueno
Technician/Technologist in Buena Park, CA. Individual provider (NPI-1).
NPI number1558079889
StatusActive
Last updated in NPPESNov 7, 2022
Details
- NPI
- 1558079889
- Entity type
- Individual (NPI-1)
- Name
- Isabella Maryse Bueno
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Nov 7, 2022
- Certification date
- Nov 5, 2022
- Last updated
- Nov 7, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 156F00000X | Technician/Technologist | – | – | Yes |
Practice location
8467 Primula CirBuena Park, CA 90620-2158
Phone 714-366-4388
Mailing address
8467 Primula CirBuena Park, CA 90620-2158
Phone 714-366-4388
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