Situmeang, Jesse Revin
Situmeang, Jesse Revin is an sole proprietor health care provider with primary practice located at 71952 Buena Vista Dr , 29 Palms CA 92277-2076. He recently has only one registered license in Nursing Service Providers / Licensed Vocational Nurse, which is considered as his primary health care specialty. Situmeang, Jesse Revin can be contacted via phone (720) 666-0999.Contact Information
Primary practice address
71952 Buena Vista Dr
29 Palms CA 92277-2076
Phone: (720) 666-0999
Fax: (760) 401-8212
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Licensed Vocational Nurse | 164X00000X | 243146 | California |
Profile Details
| NPI number | 1164166492 |
|---|---|
| LBN Legal business name | Situmeang, Jesse Revin |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 22nd, 2022 |
| Last updated | Apr 22nd, 2022 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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