Individual
JULIA CHANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
711 STONY POINT RD STE 17, SANTA ROSA, CA 95407-6848
(707) 578-2005
Mailing address
1150 EL CAMINO REAL, SAN BRUNO, CA 94066-2420
(650) 873-3338
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
95002754
CA
Other
Enumeration date
11/03/2015
Last updated
08/08/2018
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