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Individual

JUVANESSA LAKILAK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MSN, RN, FNP-C

Contact information

Practice address
3801 MIRANDA AVE, PALO ALTO, CA 94304-1290
(650) 493-5000
Mailing address
7 41ST AVE UNIT 121, SAN MATEO, CA 94403-5105

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
95172105
CA
363L00000X
Nurse Practitioner
Primary
95038960
CA

Other

Enumeration date
05/04/2026
Last updated
05/04/2026
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