WTIN JALANUGRAHA

LOS ANGELES, CA
NPI1508118845
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy164X00000X Licensed Vocational Nurse
(Licence: CA  148439)
Enumeration Date2012-10-10
Last Update Date2012-10-10
Business Address
Mr. WTIN JALANUGRAHA LVN
UCLA STUDENT HEALTH SERVICES 221 WESTWOOD PLAZA
LOS ANGELES, CA 90095-0001
Phone number: 310-825-4073
Mailing Address
Mr. WTIN JALANUGRAHA LVN
4323 VAN NUYS BLVD APT 3
SHERMAN OAKS, CA 91403-3728
Phone number: 818-784-7818
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