GREGORY SIAUMAU

SAN DIEGO, CA
NPI1609583392
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy163WP0809X Registered Nurse, Psych/Mental Health, Adult
(Licence: CA  95281757)
Enumeration Date2022-11-01
Last Update Date2022-11-01
Business Address
GREGORY SIAUMAU
3853 ROSECRANS ST
SAN DIEGO, CA 92110-3115
Phone number: 619-692-8232
Mailing Address
GREGORY SIAUMAU
3853 ROSECRANS ST
SAN DIEGO, CA 92110-3115
Phone number: