Irene Bacus
NPI #1003012691 in Ontario, California
Provider Information
- NPI Number
- 1003012691
- Entity Type
- Individual
- Name
- Irene Bacus
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Registered Nurse
- Enumeration Date
- Jun 21, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 3330 CENTRE LAKE DR
- City
- Ontario
- State
- California
- ZIP Code
- 91761-1211
- Phone
- (909) 974-4704
Specialties & Taxonomy Codes
| Specialty |
|---|
| Registered Nurse |
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