Individual
JANICE HUTALLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
2620 26TH AVE, OAKLAND, CA 94601-1907
(510) 437-2363
(510) 437-2366
Mailing address
50 AUSTIN AVE APT 522, HAYWARD, CA 94544-2273
(510) 695-3146
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
220073
CA
Other
Enumeration date
04/29/2008
Last updated
04/29/2008
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