TRYSARI SUDIRO

LONG BEACH, CA
NPI1396432399
Former NameTRYSARI CHANDRA
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LA2100X Nurse Practitioner, Acute Care
(Licence: CA  95018240)
Enumeration Date2023-04-19
Last Update Date2023-05-26
Business Address
TRYSARI SUDIRO
2810 LONG BEACH BLVD
LONG BEACH, CA 90806-1558
Phone number: 626-709-7802
Mailing Address
TRYSARI SUDIRO
2810 LONG BEACH BLVD
LONG BEACH, CA 90806-1558
Phone number: 626-709-7802
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