Individual
MR. JOSHUA TODD SIEBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
1662 DOMINICAN WAY, SANTA CRUZ, CA 95065-1522
(831) 460-7350
Mailing address
325 DISTEL CIR, LOS ALTOS, CA 94022-1408
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
209.013162
IL
363L00000X
Nurse Practitioner
Primary
NP95004934
CA
Other
Enumeration date
09/11/2015
Last updated
12/04/2019
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