Individual
JASON PRASITSAK NODA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ACNPG-AG
Contact information
Practice address
11370 ANDERSON ST STE 2100, LOMA LINDA, CA 92354
(909) 558-2822
Mailing address
11370 ANDERSON ST STE 2100, LOMA LINDA, CA 92354-3450
(909) 558-2822
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
95016607
CA
Other
Enumeration date
11/30/2021
Last updated
08/18/2022
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