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Individual

JUDITH E DJUOGOUO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
300 PASTEUR DR, STANFORD, CA 94305-2200
(650) 724-9740
Mailing address
300 PASTEUR DR, STANFORD, CA 94305-2200
(650) 724-9740

Taxonomy

Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
95002033
CA
363L00000X
Nurse Practitioner
Primary
95002033
CA

Other

Enumeration date
12/10/2015
Last updated
08/26/2019
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