NPI 1265900609

Juan Carlos Tud, CLSCCP

Practitioner Perfusionist Palo Alto, CA

Practice location

Address: 250 Fernando Ave, Palo Alto, CA 94306-2814
Phone: (515) 865-5471

Registered specialties

Perfusionist Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 242T00000X Licence 999074 (CA)

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Registry record

NPI: 1265900609
Entity type: Individual
Sex (as registered): Male
NPI issued: 4 Nov 2018
Record last updated: 4 Nov 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.