Individual
SHEETHAL LUKOSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
39400 PASEO PADRE PKWY, FREMONT, CA 94538-2310
(510) 248-3000
Mailing address
3233 BRIGGS CT, FREMONT, CA 94536-2406
(510) 414-9693
Taxonomy
Speciality
Code
Description
License number
State
364SG0600X
Gerontology Clinical Nurse Specialist
Primary
3012
CA
Other
Enumeration date
01/30/2024
Last updated
01/30/2024
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