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Ridwan Lingga

NPI 1063126027 · on the registry since 2023 · sole proprietor

Practice

Address
1169 Beverly Dr Apt 63
Lemoore, CA 93245
Phone
(732) 900-8354

Registry record

Primary taxonomy
163W00000X
163W00000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2023-01-12

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California