Individual
MRS. LUCILLE CASAS TY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
2633 16TH ST, BAKERSFIELD, CA 93301-3348
(661) 634-1000
Mailing address
1691 THE ALAMEDA, SAN JOSE, CA 95126-2203
(408) 795-3619
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
23691
CA
Other
Enumeration date
09/27/2013
Last updated
11/10/2016
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