FAIZ ENDRO KUSUMO

FRESNO, CA
NPI1619461696
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2018-06-21
Last Update Date2018-06-21
Business Address
FAIZ ENDRO KUSUMO MD
1313 E HERNDON AVE
FRESNO, CA 93720-3306
Phone number: 559-450-5375
Mailing Address
FAIZ ENDRO KUSUMO MD
1313 E HERNDON AVE
FRESNO, CA 93720-3306
Phone number:
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