NI KETUT SUPIYATI

HUNTINGTON PARK, CA
NPI1023497443
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: CA  NP95001498)
Enumeration Date2015-05-19
Last Update Date2015-05-19
Business Address
-- NI KETUT SUPIYATI
2638 E FLORENCE AVE
HUNTINGTON PARK, CA 90255-4708
Phone number: 323-581-4665
Mailing Address
-- NI KETUT SUPIYATI
2638 E FLORENCE AVE
HUNTINGTON PARK, CA 90255-4708
Phone number: 323-581-4665
Similar providers in Huntington Park, CA
MARIA LUISA MENDOZA
WEAVE BISHOP
VERONICA LOMELI
JULIA NTSUAB JULIANO
SONYA AMBRIZ
TONY LEE
DANIELLE BO
JACQUELINE RODRIGUEZ
DANIEL FREDRICK REID
PATRICIA GEOVANA SANCHEZ