JOHANNES MARULITUA HUTAURUK

PHOENIX, AZ
NPI1861712747
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy163WC0200X Registered Nurse, Critical Care Medicine
(Licence: CA  544346)
Enumeration Date2010-06-02
Last Update Date2010-06-02
Business Address
-- JOHANNES MARULITUA HUTAURUK
4212 N 16TH ST
PHOENIX, AZ 85016-5319
Phone number: 602-263-1200
Mailing Address
-- JOHANNES MARULITUA HUTAURUK
PO BOX 31001-0698
PASADENA, CA 91110-0698
Phone number: 602-263-1200
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