JONATHAN KUSMULYANA

CORONA, CA
NPI1184580029
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: CA  NP95037773)
Enumeration Date2026-01-03
Last Update Date2026-01-03
Business Address
JONATHAN KUSMULYANA Nurse Practitioner
26120 PLUMCOT DR
CORONA, CA 92883-3141
Phone number: 626-641-5054
Mailing Address
JONATHAN KUSMULYANA Nurse Practitioner
26120 PLUMCOT DR
CORONA, CA 92883-3141
Phone number: 626-641-5054
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