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Individual

RICHARD SAPUTRA SIA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RRT, RCP

Contact information

Practice address
2051 MARENGO ST, LOS ANGELES, CA 90033-1352
(323) 409-3281
Mailing address
2051 MARENGO ST, LOS ANGELES, CA 90033-1352

Taxonomy

Speciality
Code
Description
License number
State
227900000X
Registered Respiratory Therapist
Primary
32956
CA

Other

Enumeration date
08/14/2017
Last updated
08/14/2017
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