Individual
HARIS BASRI SINAGA
Active
Individual
HARIS BASRI SINAGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
VN214075
CA
Other
Enumeration date
10/25/2019
Last updated
10/25/2019
Update your record
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