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Krisan Lee Kulusich-Petersen Valid NPI

Individual provider · Registered Nurse · San Jose, CA

NPI
1235475070
Type
Individual (Type 1)
Primary specialty
Registered Nurse
Specialty group
Nursing Service Providers
Taxonomy code
163W00000X
License number
727652 (CA)
Sex
Female
Sole proprietor
No
Enumerated
2012-12-26
Last updated
2012-12-26
Practice location
976 Lenzen Ave, Suite 1800
San Jose, CA 95126-2737
(408) 792-5572

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Krisan Lee Kulusich-Petersen — NPI 1235475070