Individual
MR. JURRY LAMUG BATANGAN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN, BSN
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
77454
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
XLPR000026152520
HMSA BLUE CROSS BLUE SHIELD
HI
Enumeration date
03/07/2014
Last updated
03/07/2014
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