Individual provider · NPI-1
Jolina Renae Lulualii
Rehabilitation Practitioner · Mountain View, CA
NPI number1720850803
StatusActive
Last updated in NPPESJun 26, 2025
Details
- NPI
- 1720850803
- Entity type
- Individual (NPI-1)
- Name
- Jolina Renae Lulualii
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 23, 2023
- Certification date
- Jun 26, 2025
- Last updated
- Jun 26, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225400000X | Rehabilitation Practitioner | – | – | Yes |
| 171M00000X | Case Manager/Care Coordinator | – | – |
Practice location
1503 Grant Rd Ste 110Mountain View, CA 94040-3270
Phone 650-484-1213 · Fax 408-642-6052
Mailing address
1922 The Alameda Ste 302San Jose, CA 95126-1461
Phone 408-261-7777 · Fax 408-642-6052
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