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MR. EDWARD N. SIANIPAR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
N.P.

Contact information

Practice address
19059 BEAR VALLEY RD, #1, APPLE VALLEY, CA 92308-2716
(760) 515-5000
(760) 240-3848
Mailing address
19059 BEAR VALLEY RD, #1, APPLE VALLEY, CA 92308-2716
(760) 515-5000
(760) 240-3848

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
21409
CA
363LA2200X
Adult Health Nurse Practitioner
Primary
NP21409
CA

Other

Enumeration date
11/29/2011
Last updated
10/25/2024
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