KANDAVIN SUMILAT

SAN BERNARDINO, CA
NPI1609457753
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: CA  95022634)
Enumeration Date2021-04-20
Last Update Date2026-06-09
Business Address
KANDAVIN SUMILAT
2195 CLUB CENTER DR STE A
SAN BERNARDINO, CA 92408-4162
Phone number: 909-654-2119
Mailing Address
KANDAVIN SUMILAT
PO BOX 10069
SAN BERNARDINO, CA 92423-0069
Phone number: 909-335-4188
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