Provider Demographics
NPI:1477139418
Name:MUSOKE, JULIET (RN)
Entity Type:Individual
Prefix:
First Name:JULIET
Middle Name:
Last Name:MUSOKE
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22056 VISCANIO RD
Mailing Address - Street 2:
Mailing Address - City:WOODLAND HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91364-4110
Mailing Address - Country:US
Mailing Address - Phone:818-602-5305
Mailing Address - Fax:
Practice Address - Street 1:22056 VISCANIO RD
Practice Address - Street 2:
Practice Address - City:WOODLAND HILLS
Practice Address - State:CA
Practice Address - Zip Code:91364-4110
Practice Address - Country:US
Practice Address - Phone:818-602-5305
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-03-21
Last Update Date:2021-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95042510163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse