Provider Demographics
NPI:1467132910
Name:ANGULO, IRENE IRLANDA
Entity Type:Individual
Prefix:
First Name:IRENE
Middle Name:IRLANDA
Last Name:ANGULO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:29419 WHITEWATER DR
Mailing Address - Street 2:
Mailing Address - City:MENIFEE
Mailing Address - State:CA
Mailing Address - Zip Code:92585-3313
Mailing Address - Country:US
Mailing Address - Phone:760-996-2728
Mailing Address - Fax:
Practice Address - Street 1:29419 WHITEWATER DR
Practice Address - Street 2:
Practice Address - City:MENIFEE
Practice Address - State:CA
Practice Address - Zip Code:92585-3313
Practice Address - Country:US
Practice Address - Phone:760-996-2728
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-07-20
Last Update Date:2023-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula