Most Relevant Information
Provider Data
| NPI Number: | 1003183146 |
| Provider Name: | MARIA IMELDA BAUTISTA-DURAND NP |
| Entity Type: | Individual |
| Taxonomy Code: | 363LP0200X |
| Specialty: | Nurse Practitioner |
| License Number: | 513943 |
Most Important Dates
| Enumeration Date: | 11/17/2011 |
| Last Updated: | 11/17/2011 |
Provider Practice Location
2400 S FLOWER ST
LOS ANGELES
CA
900072629
Practice Location Phone/Fax
| Phone: | 2137421000 |
| Fax: |
Provider Mailing Location
2400 S FLOWER ST
LOS ANGELES
CA
900072629
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |