Individual
MS. AUGUSTINE JULIE PRODJINOTHO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3910 S BRIANNA DR, YUMA, AZ 85365-1403
(928) 503-6643
Mailing address
3910 S BRIANNA DR, YUMA, AZ 85365-1403
(928) 503-6643
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
259971
AZ
Other
Enumeration date
03/25/2022
Last updated
04/22/2025
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