UTHA ANDHIKA LUMBANTOBING

LOS ANGELES, CA
NPI1629817028
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: CA  95002375)
Enumeration Date2024-05-23
Last Update Date2024-05-23
Business Address
UTHA ANDHIKA LUMBANTOBING DNAP, CRNA
2051 MARENGO ST
LOS ANGELES, CA 90033-1352
Phone number: 323-409-7735
Mailing Address
UTHA ANDHIKA LUMBANTOBING DNAP, CRNA
1764 N ENCINA AVE
RIALTO, CA 92376-2938
Phone number: 909-996-9222
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