Individual
BLITE KHIRSTEEN LAZARO PULIDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
491 D ST, COLMA, CA 94014-3152
(816) 500-6523
Mailing address
491 D ST, COLMA, CA 94014-3152
(816) 500-6523
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
95033224
CA
Other
Enumeration date
05/01/2025
Last updated
05/01/2025
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