LUCYANA MAGRIETTA PANJAITAN

RIVERSIDE, CA
NPI1831656578
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: CA  95007651)
Enumeration Date2019-02-28
Last Update Date2023-09-26
Business Address
LUCYANA MAGRIETTA PANJAITAN Nurse Practitioner
4500 BROCKTON AVE
RIVERSIDE, CA 92501-4090
Phone number: 951-276-2760
Mailing Address
LUCYANA MAGRIETTA PANJAITAN Nurse Practitioner
4500 BROCKTON AVE
RIVERSIDE, CA 92501-4090
Phone number: 951-276-2760