Mr. MARIUS JORDAN BAUTISTA AGUSTIN BSN,RN,CCRN
Individual Provider (NPI-1)
Active
Registered Nurse, Critical Care Medicine
Provider Information
- NPI Number
1699695296- Provider Type
- Individual Provider (NPI-1)
- Credentials
- BSN,RN,CCRN
- Status
- Active
Contact & Location
- Address
- 11201 BENTON ST, LOMA LINDA, CA, 923571000
- Phone
- (909) 825-7084
Specialties & Taxonomies
Registered Nurse, Critical Care Medicine
Primary License: FL #RN9361873