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Gideon Galatoba Harianja
Student in an Organized Health Care Education/Training Program in Loma Linda, California
NPI 1609571652

Gideon Galatoba Harianja is a Student in an Organized Health Care Education/Training Program based in Loma Linda, CA. Gideon Galatoba Harianja practices in Loma Linda, CA. The NPI Number for Gideon Galatoba Harianja is 1609571652 and holds a License No. (California).

The current practice location address for Gideon Galatoba Harianja is 11234 Anderson St # C, Loma Linda, CA and can be reached out via phone at 909-558-4000.

Location: 11234 Anderson St # C, Loma Linda, CA, 92354-1793
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1609571652
Provider Name
Gideon Galatoba Harianja
Credential
Provider Entity Type
Individual
Gender
Male
Address
11234 Anderson St # C, Loma Linda, CA, 92354-1793
Phone Number
909-558-4000
Fax Number
Provider Enumeration Date
03/31/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
11234 Anderson St # C
City
Loma Linda
State
California
Zip
92354-2804
Phone Number
909-558-4000
Fax Number
person
Provider Business Mailing Address Details
Address
11234 Anderson St # C
City
Loma Linda
State
California
Zip
92354-2804
Phone Number
909-558-4000
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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