Healthcare Provider Details

I. General information

NPI: 1457834962
Provider Name (Legal Business Name): JULIE HURANT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/11/2018
Last Update Date: 09/11/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1401 PARKMOOR AVE STE 208
SAN JOSE CA
95126-3407
US

IV. Provider business mailing address

2881 MERIDIAN AVE UNIT 168
SAN JOSE CA
95124-1962
US

V. Phone/Fax

Practice location:
  • Phone: 408-885-0805
  • Fax:
Mailing address:
  • Phone: 669-222-0000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: