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Jesse Revin Situmeang
Licensed Vocational Nurse in 29 Palms, California
NPI 1164166492

Jesse Revin Situmeang is a Licensed Vocational Nurse based in 29 Palms, CA. Jesse Revin Situmeang practices in 29 Palms, CA. The NPI Number for Jesse Revin Situmeang is 1164166492 and holds a License No. 243146 (California).

The current practice location address for Jesse Revin Situmeang is 71952 Buena Vista Dr, 29 Palms, CA and can be reached out via phone at 720-666-0999 and via fax at 760-401-8212.

Location: 71952 Buena Vista Dr, 29 Palms, CA, 92277-2076
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1164166492
Provider Name
Jesse Revin Situmeang
Credential
Provider Entity Type
Individual
Gender
Male
Address
71952 Buena Vista Dr, 29 Palms, CA, 92277-2076
Phone Number
720-666-0999
Fax Number
760-401-8212
Provider Enumeration Date
04/22/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
71952 Buena Vista Dr
City
29 Palms
State
California
Zip
92277-2076
Phone Number
720-666-0999
Fax Number
760-401-8212
person
Provider Business Mailing Address Details
Address
71952 Buena Vista Dr
City
29 Palms
State
California
Zip
92277-2076
Phone Number
720-666-0999
Fax Number
760-401-8212
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Vocational Nurse
Speciality
-
Taxonomy
164X00000X
License No.
243146 (California)
Definition
An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. [An alternate term for licensed practical nurse arising from difference in occupational titles between states and post-high school training programs and institutions.] Requirements for education, experience, licensure, and job responsibilities vary among the states.
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