Individual
MRS. LOUVELLA NUQUI PABUSTAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
889 CORPORATE WAY, FREMONT, CA 94539-6115
(510) 770-9960
Mailing address
15580 BAYPOINT AVE, SAN LEANDRO, CA 94579-2803
(510) 305-7224
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
95010934
CA
Other
Enumeration date
02/12/2019
Last updated
02/12/2019
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