Individual
JULIA MAVIS VICTOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CTRS
Contact information
Practice address
3801 MIRANDA AVE, PALO ALTO, CA 94304-1207
(650) 387-2501
Mailing address
517 ROBERT AVE, RIPON, CA 95366-2566
(209) 681-1702
Taxonomy
Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary
—
—
Other
Enumeration date
05/05/2021
Last updated
05/05/2021
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