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Individual
SUZANNE RACHELLE BUTALA
Active
Individual
SUZANNE RACHELLE BUTALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
NPF4529
CA
363LP2300X
Primary Care Nurse Practitioner
256495
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NPC4529
NP CERTIFICATION
CA
Enumeration date
09/16/2006
Last updated
02/11/2014
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