Provider Demographics
NPI:1659650364
Name:ENGLUND, JULIANNA (ND, LAC)
Entity Type:Individual
Prefix:DR
First Name:JULIANNA
Middle Name:
Last Name:ENGLUND
Suffix:
Gender:F
Credentials:ND, LAC
Other - Prefix:
Other - First Name:JULIE
Other - Middle Name:ANNA
Other - Last Name:ENGLUND
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:ND, LAC
Mailing Address - Street 1:1415 HIGUERA ST
Mailing Address - Street 2:
Mailing Address - City:SAN LUIS OBISPO
Mailing Address - State:CA
Mailing Address - Zip Code:93401-2915
Mailing Address - Country:US
Mailing Address - Phone:805-543-8958
Mailing Address - Fax:
Practice Address - Street 1:1415 HIGUERA ST
Practice Address - Street 2:
Practice Address - City:SAN LUIS OBISPO
Practice Address - State:CA
Practice Address - Zip Code:93401-2915
Practice Address - Country:US
Practice Address - Phone:805-543-8958
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-11
Last Update Date:2016-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAND-473175F00000X
CAAC 14714171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist
No175F00000XOther Service ProvidersNaturopath