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Mrs. Roshally Elvy Hutabarat, LVN
Licensed Vocational Nurse in San Bernardino, California
NPI 1679760573

Roshally Elvy Hutabarat is a Licensed Vocational Nurse based in Loma Linda, CA. Roshally Elvy Hutabarat practices in San Bernardino, CA and has the professional credentials of LVN. The NPI Number for Roshally Elvy Hutabarat is 1679760573 and holds a License No. VA 209395 (California).

The current practice location address for Roshally Elvy Hutabarat is 264 E 18Th St, San Bernardino, CA and can be reached out via phone at 909-883-0288. You can also correspond with Roshally Elvy Hutabarat through the mailing address at 25502 PORTOLA LOOP, LOMA LINDA, CA - 92354 (mailing address contact number: 909-796-2303).

Location: 264 E 18Th St, San Bernardino, CA, 92354
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1679760573
Provider Name
Roshally Elvy Hutabarat
Credential
LVN
Provider Entity Type
Individual
Gender
Female
Address
264 E 18Th St, San Bernardino, CA, 92354
Phone Number
909-883-0288
Fax Number
Provider Enumeration Date
09/25/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
264 E 18Th St
City
San Bernardino
State
California
Zip
92404-4708
Phone Number
909-883-0288
Fax Number
person
Provider Business Mailing Address Details
Address
264 E 18Th St
City
San Bernardino
State
California
Zip
92404-4708
Phone Number
909-883-0288
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Vocational Nurse
Speciality
-
Taxonomy
164X00000X
License No.
VA 209395 (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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