Individual
MS. ALICIA-JAY JUSTO ESPOSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP, PA
Contact information
Practice address
701 E EL CAMINO REAL, MOUNTAIN VIEW, CA 94040-2833
(831) 458-5597
(650) 560-6601
Mailing address
325 DISTEL CIR, LOS ALTOS, CA 94022-1408
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
55173
CA
363LF0000X
Family Nurse Practitioner
Primary
95008297
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
55173
PA LICENSE
CA
01
—
95008297
NP LICENSE
CA
Enumeration date
01/11/2018
Last updated
03/13/2025
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