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Individual
JOTHI JEEVAN SUHAS
Active
Individual
JOTHI JEEVAN SUHAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
95006353
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
829083
RN LICENSE
CA
01
—
95006353
NURSE PRACTITIONER AND FURNISHING LICENSE
CA
Enumeration date
11/14/2016
Last updated
03/25/2017
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