BANTALE AYISIRE

Psychiatric/Mental Health Nurse Practitioner

NPI: 1538969282Individual

Specialties, Licenses & Credentials

Psychiatric/Mental Health Nurse PractitionerPrimary

Nurse Practitioner — Psychiatric/Mental Health

Code: 363LP0808X

95033816(CA)

Contact & Hours

Address: 20623 GREEN ASH LN
WINNETKA, CA 91306
Phone: (909) 965-9961

Quick Facts

NPI: 1538969282
Entity Type: Individual
Gender: X
Medicare: Not confirmed
Specialties: 1
Locations: 1

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