MIRASOL AGUSTIN
Individual Provider (NPI-1)
Active
Registered Nurse, Gastroenterology
Provider Information
- NPI Number
1073036695- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 1983 MARENGO ST, LOS ANGELES, CA, 900331370
- Phone
- (323) 409-5530
Specialties & Taxonomies
Registered Nurse, Gastroenterology
Primary License: CA #688778