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Ingrid G Arenas Bautista

Licensed Vocational Nurse in Costa Mesa, CA. Individual provider (NPI-1).

NPI number1659136190
StatusActive
Last updated in NPPESFeb 14, 2024

Details

NPI
1659136190
Entity type
Individual (NPI-1)
Name
Ingrid G Arenas Bautista
Sex
Female
Sole proprietor
No
Enumeration date
Feb 14, 2024
Certification date
Jan 31, 2024
Last updated
Feb 14, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
164X00000X Licensed Vocational Nurse737383CAYes

Practice location

275 Victoria St Ste 1h
Costa Mesa, CA 92627-1906

Phone 949-629-2862

Mailing address

275 Victoria St Ste 1h
Costa Mesa, CA 92627-1906

Phone 949-629-2862

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