Individual provider · Type 1 NPI
Judith Komatsu, N.P, L.A.C.
Adult Health Nurse Practitioner · Petaluma, CA
NPI number
1346261005
Active
Practice location
1179 N Mcdowell Blvd
Petaluma, CA 94954-6559
Fax (707) 559-7620
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner Primary | 363LA2200X | 21030 (CA) |
| Acupuncturist | 171100000X | CA7924 (CA) |
Adult Health Nurse Practitioner: Definition to come...
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About NPI 1346261005
Judith Komatsu, N.P, L.A.C.'s National Provider Identifier is 1346261005, issued on Jul 21, 2006. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Petaluma, CA. The record was last updated on Jul 6, 2012.