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Organization
BLUE LOTUS HEALTH LLC
Active
Organization
BLUE LOTUS HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS NESREN ANTON NP (NURSE PRACTITIONER)
(510) 736-9104
Entity
Organization
Contact information
Practice address
922 S TUPPER CT, MOUNTAIN HOUSE, CA 95391-1426
(510) 736-9104
Mailing address
922 S TUPPER CT, MOUNTAIN HOUSE, CA 95391-1426
(510) 736-9104
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
—
NULL
Other
Enumeration date
10/05/2026
Last updated
10/05/2026
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