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Organization
LUMIRA NURSING CORPORATION
Active
Organization
LUMIRA NURSING CORPORATION
Active
Other names
LUMIRA HEALTH AND WELLNESS
Organization subpart
No
Provider details
NPI number
Authorized official
JUDITH KIBUH NP (CEO/PRESIDENT)
(408) 614-9504
Entity
Organization
Contact information
Practice address
28 N 4TH ST UNIT 2411, SAN JOSE, CA 95112-6178
(408) 614-9504
Mailing address
28 N 4TH ST UNIT 2411, SAN JOSE, CA 95112-6178
(408) 614-9504
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
—
NULL
261QH0100X
Health Service Clinic/Center
—
NULL
261QI0500X
Infusion Therapy Clinic/Center
—
NULL
261QP2300X
Primary Care Clinic/Center
—
NULL
363LP2300X
Primary Care Nurse Practitioner
Primary
—
NULL
363LP2300X
Primary Care Nurse Practitioner
Primary
—
—
Other
Enumeration date
04/28/2025
Last updated
08/27/2025
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