Haris Basri Sinaga

NPI #1356984082 in Fonta, California

Provider Information

NPI Number
1356984082
Entity Type
Individual
Name
Haris Basri Sinaga
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Licensed Vocational Nurse
Enumeration Date
Oct 25, 2019
Last Updated
Oct 25, 2019

Practice Location

Address
14677 MERRILL AVENUE
City
Fonta
ZIP Code
92335
Phone
(951) 643-2340

Specialties & Taxonomy Codes

Specialty
Licensed Vocational Nurse

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