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Individual

MR. RICARDO SAMPANG SAYAT JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
AGACNP-BC

Contact information

Practice address
11234 ANDERSON ST, LOMA LINDA, CA 92354-2804
(909) 558-4000
Mailing address
2038 SONYA CT, WEST COVINA, CA 91792-2435
(626) 475-1737

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
95018744
CA

Other

Enumeration date
10/13/2021
Last updated
10/13/2021
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