IKA CATTLEYA PUTRI ARIEF THOMAS

BARSTOW, CA
NPI1689480535
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy172V00000X Community Health Worker
Enumeration Date2024-12-05
Last Update Date2024-12-10
Business Address
IKA CATTLEYA PUTRI ARIEF THOMAS
222 E MAIN ST STE 117
BARSTOW, CA 92311-2365
Phone number: 760-255-1496
Mailing Address
IKA CATTLEYA PUTRI ARIEF THOMAS
4731 BURMA
FORT IRWIN, CA 92310-1917
Phone number: