NATHAN SUMARSONO

DALLAS, TX
NPI1063022408
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2020-07-31
Last Update Date2020-07-31
Business Address
NATHAN SUMARSONO
5323 HARRY HINES BLVD
DALLAS, TX 75390-7201
Phone number: 214-648-2168
Mailing Address
NATHAN SUMARSONO
5323 HARRY HINES BLVD
DALLAS, TX 75390-7201
Phone number: 214-648-2168
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