Provider Demographics
NPI:1811445026
Name:BAYBAY, VENA AQUINO (LVN)
Entity type:Individual
Prefix:MS
First Name:VENA
Middle Name:AQUINO
Last Name:BAYBAY
Suffix:
Gender:F
Credentials:LVN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1782 ROCKVIEW WAY
Mailing Address - Street 2:
Mailing Address - City:POMONA
Mailing Address - State:CA
Mailing Address - Zip Code:91766-5285
Mailing Address - Country:US
Mailing Address - Phone:909-276-2223
Mailing Address - Fax:909-766-8297
Practice Address - Street 1:1782 ROCKVIEW WAY
Practice Address - Street 2:
Practice Address - City:POMONA
Practice Address - State:CA
Practice Address - Zip Code:91766-5285
Practice Address - Country:US
Practice Address - Phone:909-276-2223
Practice Address - Fax:909-766-8297
Is Sole Proprietor?:Yes
Enumeration Date:2016-09-16
Last Update Date:2016-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA160745164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse