ISHAK SITANGGANG

COLTON, CA
NPI1063736809
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy163W00000X Registered Nurse
(Licence: CA  750857)
Enumeration Date2010-03-23
Last Update Date2010-03-23
Business Address
-- ISHAK SITANGGANG
400 N PEPPER AVE
COLTON, CA 92324-1801
Phone number: 909-580-3144
Mailing Address
-- ISHAK SITANGGANG
400 N PEPPER AVE
COLTON, CA 92324-1801
Phone number: 909-580-3144
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