MARVIN P SIMANDJUNTAK

COLTON, CA
NPI1952658999
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy163W00000X Registered Nurse
(Licence: CA  813989)
Enumeration Date2012-08-09
Last Update Date2012-08-09
Business Address
-- MARVIN P SIMANDJUNTAK
400 N PEPPER AVE
COLTON, CA 92324-1801
Phone number: 909-580-3144
Mailing Address
-- MARVIN P SIMANDJUNTAK
400 N PEPPER AVE
COLTON, CA 92324-1801
Phone number: 909-580-3144
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