Individual provider · Type 1 NPI
Mary Amaugo, RN
Psychiatric/Mental Health Registered Nurse · Los Angeles, CA
NPI number
1104579895
Active
Practice location
1720 E 120th St
Los Angeles, CA 90059-3052
Mailing address
15735 Blaine Ave Apt 11
Bellflower, CA 90706-3643
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Registered Nurse Primary | 163WP0808X | 95174785 (CA) |
Psychiatric/Mental Health Registered Nurse: Definition to come...
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About NPI 1104579895
Mary Amaugo, RN's National Provider Identifier is 1104579895, issued on Feb 2, 2022. The primary taxonomy on file is Psychiatric/Mental Health Registered Nurse (163WP0808X), and the practice location is in Los Angeles, CA. The record was last updated on Feb 2, 2022.