NPI 1003012691
Irene Bacus
Practice location
- Address
- 3330 Centre Lake Dr, Ontario, CA 91761-1211
- Phone
- (909) 974-4704
- Mailing address
- 108 Breezewood St, Corona, CA 92879-1210
Registered specialties
Registered Nurse
Primary
Registry record
- NPI
- 1003012691
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 21 Jun 2007
- Record last updated
- 8 Jul 2007
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.