Jesse Revin Situmeang
Jesse Revin Situmeang is a Licensed Vocational Nurse in 29 Palms, California. Practices as a sole proprietor. Licensed in California.
- Licensed in
- CA
- In the registry since
- 2022
Practice location Address checks out
71952 Buena Vista Dr29 Palms, CA 92277-2076
Phone: (720) 666-0999
Fax: (760) 401-8212
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Licensed Vocational Nurse (primary) | Taxonomy 164X00000X · Licence 243146 (CA) |
|---|
Record details
| NPI number | 1164166492 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | April 22, 2022 |
| Last updated in NPPES | April 22, 2022 |
| Certification date | April 22, 2022 |