SUNGGUH MANULLANG

LOMA LINDA, CA
NPI1740115856
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: CA  95039627)
Enumeration Date2026-06-17
Last Update Date2026-06-17
Business Address
Mr. SUNGGUH MANULLANG
11234 ANDERSON ST
LOMA LINDA, CA 92350-1716
Phone number: 909-558-4000
Mailing Address
Mr. SUNGGUH MANULLANG
11234 ANDERSON ST
LOMA LINDA, CA 92350-1716
Phone number:
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