Royke Rantung
Registered Nurse in Grand Terrace, CA. Individual provider (NPI-1).
NPI number1700486396
StatusActive
Last updated in NPPESOct 31, 2020
Details
- NPI
- 1700486396
- Entity type
- Individual (NPI-1)
- Name
- Royke Rantung
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 31, 2020
- Certification date
- Oct 31, 2020
- Last updated
- Oct 31, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163W00000X | Registered Nurse | 95230241 | CA | Yes |
Other names
- Roy Rantung (Other Name)
Practice location
22431 Terrace Pines Dr Apt DGrand Terrace, CA 92313-5059
Phone 909-572-0472
Mailing address
22431 Terrace Pines Dr Apt DGrand Terrace, CA 92313-5059
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All 7 Registered Nurse providers in Grand Terrace · All 282 providers in Grand Terrace
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