Individual
THERESA MARIE LULEY
Active
Sole proprietor
Provider details
NPI number
Gender
F
Contact information
Practice address
MAGTFTC MCAGCC BOX 788250, NAVAL HOSPITAL ATTN PROFESSIONAL AFFAIRS, TWENTYNINE PALMS, CA 92278-8250
(760) 830-2420
Mailing address
61657 ALTA VISTA DR, JOSHUA TREE, CA 92252-2748
(760) 366-8478
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
51477
TX
Other
Enumeration date
12/14/2005
Last updated
07/08/2007
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