Individual
MR. DANIEL JERICO SIHOMBING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RD
Contact information
Practice address
16453 BEAR VALLEY RD, HESPERIA, CA 92345-1752
(909) 388-5662
Mailing address
13633 BEDFORD PL, VICTORVILLE, CA 92392-8924
(909) 388-5662
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86077574
CA
Other
Enumeration date
11/03/2025
Last updated
11/03/2025
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