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Individual

JULIA TANDEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
451 HEALTH PKWY STE E, PAW PAW, MI 49079-8242
(269) 655-3090
Mailing address
1481 CAMBRIA DR, UNIT 3, DEKALB, IL 60115-1098
(262) 366-4473

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
209015816
IL
363LP0200X
Pediatric Nurse Practitioner
Primary
4704430396
MI

Other

Enumeration date
04/09/2017
Last updated
07/01/2025
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