Individual
DARIKA CHURDSUWANRAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
11201 BENTON ST, LOMA LINDA, CA 92357-1000
(909) 825-7084
Mailing address
25811 MISSION RD, LOMA LINDA, CA 92354-2520
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
95380150
CA
Other
Enumeration date
12/11/2024
Last updated
12/11/2024
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