Dannie Nainggolan
Dannie Nainggolan is a Licensed Psychiatric Technician in Riverside, California. Registered with an NPI since 2024.
- In the registry since
- 2024
Practice location Address checks out
17270 Roosevelt StRiverside, CA 92508-9523
Phone: (951) 780-2514
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Specialties & licences
| Licensed Psychiatric Technician (primary) | Taxonomy 167G00000X |
|---|
Record details
| NPI number | 1174388375 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | February 16, 2024 |
| Last updated in NPPES | July 30, 2025 |
| Certification date | July 30, 2025 |
| Mailing address | 5870 Arlington Ave, Riverside, CA 92504-2037 |
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