Individual
LETHA MULLAMKUZHY JOSEPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
5006560
NC
363LA2200X
Adult Health Nurse Practitioner
Primary
5006560
NC
363LG0600X
Gerontology Nurse Practitioner
5006560
NC
Other
Enumeration date
01/06/2014
Last updated
01/06/2014
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