WILBERT TIRTADINATA

OAKLAND, CA
NPI1578177630
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: CA  95002000)
Enumeration Date2020-09-04
Last Update Date2024-03-13
Business Address
WILBERT TIRTADINATA
3600 BROADWAY
OAKLAND, CA 94611-5730
Phone number: 510-752-1000
Mailing Address
WILBERT TIRTADINATA
3600 BROADWAY
OAKLAND, CA 94611-5730
Phone number: 510-752-1000
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