Individual
LAURI NORTHCUTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1153 COMO DR, MANTECA, CA 95337-8432
(510) 230-3966
Mailing address
1153 COMO DR, MANTECA, CA 95337-8432
(510) 230-3966
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
03/21/2022
Last updated
03/21/2022
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