Individual
MS. JUDY ANN PICAZO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
17360 BROOKHURST ST, FOUNTAIN VALLEY, CA 92708-3720
(714) 944-1771
Mailing address
17360 BROOKHURST ST, FOUNTAIN VALLEY, CA 92708-3720
(714) 944-1771
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R.N. 631428
CA
363LG0600X
Gerontology Nurse Practitioner
16730
CA
Other
Enumeration date
01/12/2007
Last updated
01/23/2024
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