Antara Leonid De Bourbon, RN
NPI #1265717896 in Aptos, California
Provider Information
- NPI Number
- 1265717896
- Entity Type
- Individual
- Name
- Antara Leonid De Bourbon, RN
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Registered Nurse
- Credential
- RN
- Enumeration Date
- Oct 14, 2011
- Last Updated
- Oct 14, 2011
Practice Location
- Address
- 400 RED HAWK LN
- City
- Aptos
- State
- California
- ZIP Code
- 95003-2668
- Phone
- (831) 588-8871
Specialties & Taxonomy Codes
| Specialty |
|---|
| Registered Nurse |
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