Individual
ALDRICH PATIMBO SITANGGANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1676 E 6TH ST STE C, BEAUMONT, CA 92223-5760
(951) 769-0300
Mailing address
26461 MAPLE AVE, LOMA LINDA, CA 92354-6709
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
293468
CA
Other
Enumeration date
09/07/2017
Last updated
09/07/2017
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