Individual
BONA PARLINDUNGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LVN
Contact information
Practice address
1900 DRESDEN DR, LINCOLN, CA 95648-8803
(916) 543-5400
Mailing address
4753 PISMO BEACH DR, ANTELOPE, CA 95843-4325
(916) 472-8211
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
278267
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
278267
BOARD OF VOCATIONAL NURSING & PSYCHIATRIC TECHNICIANS
CA
Enumeration date
09/20/2022
Last updated
09/20/2022
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