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BRIDGETTE AREVALO
Ambulatory Care >> Registered Nurse >> Nursing Service ProvidersRegistrant NPI Number: 1588335434
Individual Registrant: BRIDGETTE AREVALO
Gender: F
Not Sole Proprietor
Gender: F
Not Sole Proprietor
Location and contact information for practice:
245 S FETTERLY AVE EAST LOS ANGELES, CA 90022-1605 US
Tel: 323-362-1010 Fax: --
Tel: 323-362-1010 Fax: --
Contact information for business:
245 S FETTERLY AVE EAST LOS ANGELES, CA 90022-1605 US
Tel: 323-362-1010 Fax: --
Tel: 323-362-1010 Fax: --
Registration Information:
NPI: 1588335434
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 163WP2201X | Nursing Service Providers Registered Nurse Ambulatory Care | CA | 95232502 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
