LUSIANA KARTAWIDJAJA

SAN BERNARDINO, CA
NPI1952536625
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: CA  A105710)
Enumeration Date2009-05-23
Last Update Date2021-12-02
Business Address
Dr. LUSIANA KARTAWIDJAJA M.D.
1717 E DATE PL
SAN BERNARDINO, CA 92404-4428
Phone number: 888-750-0036
Mailing Address
Dr. LUSIANA KARTAWIDJAJA M.D.
1717 E DATE PL
SAN BERNARDINO, CA 92404-4428
Phone number: 888-750-0036
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