Individual
CATHERINE N MUTUA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2004 THELMA LOOP, TRACY, CA 95377-7211
(510) 292-1577
Mailing address
2004 THELMA LOOP, TRACY, CA 95377-7211
(510) 292-1577
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
831549
CA
Other
Enumeration date
11/22/2021
Last updated
11/22/2021
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