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NPI Code Detail

MEDICARE: MRS. JUDITH KUJAWSKI NP

MEDICARE: MRS. JUDITH KUJAWSKI NP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LA2200XAdult Health Nurse Practitioner272994CA

General Provider Information

NPI Number : 1184694580
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. JUDITH KUJAWSKI NP
Provider Business Mailing Address
First Line : 1159 MILLER AVE
Second Line :
City : BERKELEY
State : CA
Zip : 94708-1754
Country : US
Telephone Number : 510-898-0655
Fax Number :
Provider Business Practice Location Address
First Line : 201 WALNUT AVE
Second Line :
City : VALLEJO
State : CA
Zip : 94592-1107
Country : US
Telephone Number : 707-562-8373
Fax Number : 707-562-8251
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/26/2006
Last Update Date : 10/09/2007

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Directions to “ MRS. JUDITH KUJAWSKI NP” Practice Location

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