Organization
WIRA BIOSCIENCES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT D NAPITUPULU (OWNER)
(310) 975-4532
Entity
Organization
Contact information
Practice address
4315 E LOWELL ST, SUITE A, ONTARIO, CA 91761-2219
(310) 975-4532
Mailing address
4315 E LOWELL ST, SUITE A, ONTARIO, CA 91761-2219
(310) 975-4532
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
05D2100707
CA
Other
Enumeration date
01/18/2016
Last updated
01/18/2016
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