Jesse Revin Situmeang
NPI #1164166492 in 29 Palms, California
Provider Information
- NPI Number
- 1164166492
- Entity Type
- Individual
- Name
- Jesse Revin Situmeang
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Licensed Vocational Nurse
- Enumeration Date
- Apr 22, 2022
- Last Updated
- Apr 22, 2022
Practice Location
- Address
- 71952 BUENA VISTA DR
- City
- 29 Palms
- State
- California
- ZIP Code
- 92277-2076
- Phone
- (720) 666-0999
Specialties & Taxonomy Codes
| Specialty |
|---|
| Licensed Vocational Nurse |
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