Elaine Grace Agustin, N.P. Valid NPI
Individual provider · Nurse Practitioner · San Bernardino, CA
- NPI
- 1992837843
- Type
- Individual (Type 1)
- Primary specialty
- Nurse Practitioner
- Specialty group
- Physician Assistants & Advanced Practice Nursing Providers
- Taxonomy code
- 363L00000X
- License number
- NP 13423 (CA)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2007-03-09
- Last updated
- 2021-01-21
Practice location
401 E Highland Ave, Suite 551
San Bernardino, CA 92404-3803
(909) 882-9150