SUSIATI GUNAWAN

COSTA MESA, CA
NPI1598133357
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy164X00000X Licensed Vocational Nurse
(Licence: CA  VN257822)
Enumeration Date2015-09-10
Last Update Date2015-09-10
Business Address
-- SUSIATI GUNAWAN LVN
2401 VENIER WAY
COSTA MESA, CA 92627-1441
Phone number: 714-260-8386
Mailing Address
-- SUSIATI GUNAWAN LVN
2401 VENIER WAY
COSTA MESA, CA 92627-1441
Phone number: 714-260-8386
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