STACYRAE VIASON AGUSTO
Individual Provider (NPI-1)
Active
Nurse Practitioner
Provider Information
- NPI Number
1174329403- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 8501 BRIMHALL RD BLDG 100, BAKERSFIELD, CA, 933122327
- Phone
- (661) 370-0777
- Fax
- (661) 654-8366
Specialties & Taxonomies
Nurse Practitioner
Primary License: CA #95034047