Provider Demographics
NPI:1891097937
Name:GIULIANO, JEAN-LUC (ND, LAC)
Entity Type:Individual
Prefix:DR
First Name:JEAN-LUC
Middle Name:
Last Name:GIULIANO
Suffix:
Gender:M
Credentials:ND, LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3849 E BROADWAY BLVD UNIT 202
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85716-5407
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1615 LUCILE AVE
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90026-1015
Practice Address - Country:US
Practice Address - Phone:323-825-8180
Practice Address - Fax:888-820-8310
Is Sole Proprietor?:Yes
Enumeration Date:2010-11-22
Last Update Date:2023-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAND-434175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath