Individual
ANDREW ILIUTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
263 S WEST ST, TULARE, CA 93274-3411
(877) 960-3426
Mailing address
305 E CENTER AVE, VISALIA, CA 93291-6331
(559) 737-4700
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
10/03/2022
Last updated
04/10/2024
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