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Individual

JULIE CROUSE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
1620 PENNSYLVANIA AVE STE C, FAIRFIELD, CA 94533-3509
(707) 428-4878
Mailing address
3157 DIABLO VIEW RD, LAFAYETTE, CA 94549-2202
(925) 239-6204

Taxonomy

Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
Primary
358485
CA
363LF0000X
Family Nurse Practitioner
95014293
CA

Other

Enumeration date
03/24/2020
Last updated
03/24/2020
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