SHU DONG, N.P.

Nurse Practitioner

Active Individual
NPI: 1376842005

Practice Address

12359 MALKI RD
Banning, CA 92220

Phone: (951) 922-2058

Specialties

Specialty Code Primary License
Nurse Practitioner - Family 363LF0000X No 1117425 (TX)
Nurse Practitioner 363L00000X Yes 20192 (CA)

Frequently Asked Questions

NPI 1376842005 is the National Provider Identifier for SHU DONG, N.P., a Nurse Practitioner provider located in Banning, CA. This NPI was enumerated on March 21, 2011.
SHU DONG, N.P. practices at 12359 MALKI RD, Banning, CA 92220.

Quick Facts

NPI
1376842005
Type
Individual
Enumerated
Mar 21, 2011
Last Updated
Jul 10, 2024

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