Individual
JULIE AZEVEDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN CDE
Contact information
Practice address
515 W GRANGEVILLE BLVD, HANFORD, CA 93230-2861
(208) 944-4306
Mailing address
1540 BELLA OAKS WAY, HANFORD, CA 93230-8165
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
Primary
20210414
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20210414
NCBDE
—
01
—
384213
CALIFORNIA BOARD OF REGISTERED NURSING
CA
Enumeration date
04/23/2020
Last updated
04/23/2020
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