Jesse Revin Situmeang, | |
71952 Buena Vista Dr, 29 Palms, CA 92277-2076 | |
(720) 666-0999 | |
(760) 401-8212 |
Full Name | Jesse Revin Situmeang |
---|---|
Gender | Male |
Speciality | Licensed Vocational Nurse |
Location | 71952 Buena Vista Dr, 29 Palms, California |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1164166492 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
164X00000X | Licensed Vocational Nurse | 243146 (California) | Primary |
Mailing Address | Practice Location Address |
---|---|
Jesse Revin Situmeang, 71952 Buena Vista Dr, 29 Palms, CA 92277-2076 Ph: (720) 666-0999 | Jesse Revin Situmeang, 71952 Buena Vista Dr, 29 Palms, CA 92277-2076 Ph: (720) 666-0999 |
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