IRENE BACUS

Registered Nurse

Active Individual
NPI: 1003012691

Practice Address

3330 CENTRE LAKE DR
Ontario, CA 91761

Phone: (909) 974-4704

Specialties

Specialty Code Primary License
Registered Nurse 163W00000X Yes 625372 (CA)

Frequently Asked Questions

NPI 1003012691 is the National Provider Identifier for IRENE BACUS, a Registered Nurse provider located in Ontario, CA. This NPI was enumerated on June 21, 2007.
IRENE BACUS practices at 3330 CENTRE LAKE DR, Ontario, CA 91761.

Quick Facts

NPI
1003012691
Type
Individual
Enumerated
Jun 21, 2007
Last Updated
Jul 8, 2007

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