JASON PRASITSAK NODA

LOMA LINDA, CA
NPI1285392068
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LA2100X Nurse Practitioner, Acute Care
(Licence: CA  95016607)
Enumeration Date2021-11-30
Last Update Date2022-08-18
Business Address
JASON PRASITSAK NODA ACNPG-AG
11370 ANDERSON ST STE 2100
LOMA LINDA, CA 92354
Phone number: 909-558-2822
Mailing Address
JASON PRASITSAK NODA ACNPG-AG
11370 ANDERSON ST STE 2100
LOMA LINDA, CA 92354-3450
Phone number: 909-558-2822
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