Individual
REY LANCE SUMULONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
10408 INDUSTRIAL CIR, REDLANDS, CA 92374-4548
(909) 796-7803
Mailing address
20545 VIA BELARMINO, YORBA LINDA, CA 92887-3128
(714) 926-8203
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
95001086
CA
Other
Enumeration date
03/01/2019
Last updated
11/29/2021
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