Individual
MR. DIRK BRUINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BSN
Contact information
Practice address
3801 MIRANDA AVE, PALO ALTO, CA 94304-1207
(650) 493-5000
Mailing address
53 MOUNT HERMON RD, SCOTTS VALLEY, CA 95066-4738
(831) 331-7924
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
697162
CA
Other
Enumeration date
02/28/2007
Last updated
07/08/2007
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