De Bourbon, Antara Leonid

De Bourbon, Antara Leonid is an sole proprietor health care provider with primary practice located at 400 Red Hawk Ln , Aptos CA 95003-2668. She recently has only one registered license in Nursing Service Providers / Registered Nurse, which is considered as her primary health care specialty. De Bourbon, Antara Leonid can be contacted via phone (831) 588-8871.

Contact Information

Primary practice address
400 Red Hawk Ln Aptos CA 95003-2668
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 764892 California

Profile Details

NPI number 1265717896
LBN Legal business name De Bourbon, Antara Leonid
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 14th, 2011
Last updated Oct 14th, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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