Individual
HISAR SILALAHI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
3625 N SANTA FE ST, VISALIA, CA 93292-8914
(909) 560-4791
Mailing address
3625 N SANTA FE ST, VISALIA, CA 93292-8914
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
837291
CA
Other
Enumeration date
12/06/2022
Last updated
12/06/2022
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