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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 3 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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