Individual
MS. JULIE LYNN VAN DEN HOUT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
C.C.P.
Contact information
Practice address
2060 ALMA ST, SAN CARLOS, CA 94070-2910
(650) 592-2122
Mailing address
2060 ALMA ST, SAN CARLOS, CA 94070-2910
(650) 592-2122
Taxonomy
Speciality
Code
Description
License number
State
242T00000X
Perfusionist
Primary
809032
CA
Other
Enumeration date
02/22/2012
Last updated
02/22/2012
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