Marvin P Simandjuntak
NPI #1952658999 in Colton, California
Provider Information
- NPI Number
- 1952658999
- Entity Type
- Individual
- Name
- Marvin P Simandjuntak
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Registered Nurse
- Enumeration Date
- Aug 9, 2012
- Last Updated
- Aug 9, 2012
Practice Location
- Address
- 400 N PEPPER AVE
- City
- Colton
- State
- California
- ZIP Code
- 92324-1801
- Phone
- (909) 580-3144
Specialties & Taxonomy Codes
| Specialty |
|---|
| Registered Nurse |
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