Individual
ANITA SITORUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
25590 PROSPECT AVE APT 50B, LOMA LINDA, CA 92354-3157
(909) 894-3370
(909) 894-3370
Mailing address
25590 PROSPECT AVE APT 50B, LOMA LINDA, CA 92354-3157
(909) 894-3370
(909) 894-3370
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
702745
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
702745
REGISTERED NURSE
CA
Enumeration date
02/05/2018
Last updated
02/05/2018
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