Organization
MOBILE PICC NURSING INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANDRIAN MORRIS SITORUS REGISTERED NURSE (REGISTERED NURSE)
(909) 954-8623
Entity
Organization
Contact information
Practice address
1214 HEATH ST, REDLANDS, CA 92374-4919
(909) 922-3112
Mailing address
1214 HEATH ST, REDLANDS, CA 92374-4919
(909) 922-3112
Taxonomy
Speciality
Code
Description
License number
State
246XC2903X
Vascular Specialist/Technologist Cardiovascular
Primary
—
—
Other
Enumeration date
08/15/2022
Last updated
05/11/2023
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