Individual
MS. JULITA TEODOSIO LUTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
151 W MISSION ST, ROOM 102, SAN JOSE, CA 95110-1713
(408) 277-4177
Mailing address
34449 BRIDGEWATER PL, FREMONT, CA 94555-2304
(510) 825-6726
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN320968
CA
Other
Enumeration date
11/29/2012
Last updated
11/29/2012
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