MRS. ROSHALLY HUTABARAT, LVN

Licensed Vocational Nurse

Active Individual
NPI: 1679760573

Practice Address

264 E 18TH ST
San Bernardino, CA 92404

Phone: (909) 883-0288

Specialties

Specialty Code Primary License
Licensed Vocational Nurse 164X00000X Yes VA 209395 (CA)

Frequently Asked Questions

NPI 1679760573 is the National Provider Identifier for MRS. ROSHALLY HUTABARAT, LVN, a Licensed Vocational Nurse provider located in San Bernardino, CA. This NPI was enumerated on September 25, 2007.
MRS. ROSHALLY HUTABARAT, LVN practices at 264 E 18TH ST, San Bernardino, CA 92404.

Quick Facts

NPI
1679760573
Type
Individual
Enumerated
Sep 25, 2007
Last Updated
Sep 25, 2007

Nearby Providers