Individual
JOHANNA LIZETTE TRUJILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
2400 BAHAMAS DR, BAKERSFIELD, CA 93309-0745
(661) 328-2333
Mailing address
5767 W CENTURY BLVD STE 400, LOS ANGELES, CA 90045-5631
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
95016149
CA
Other
Enumeration date
12/04/2020
Last updated
04/09/2021
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