Provider Demographics
NPI:1427940766
Name:NOLLAU, JULIANNE (BS)
Entity type:Individual
Prefix:
First Name:JULIANNE
Middle Name:
Last Name:NOLLAU
Suffix:
Gender:F
Credentials:BS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18540 SOLEDAD CANYON RD SPC 153
Mailing Address - Street 2:
Mailing Address - City:CANYON COUNTRY
Mailing Address - State:CA
Mailing Address - Zip Code:91351-7851
Mailing Address - Country:US
Mailing Address - Phone:661-416-9250
Mailing Address - Fax:
Practice Address - Street 1:18540 SOLEDAD CANYON RD SPC 153
Practice Address - Street 2:
Practice Address - City:CANYON COUNTRY
Practice Address - State:CA
Practice Address - Zip Code:91351-7851
Practice Address - Country:US
Practice Address - Phone:661-416-9250
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-21
Last Update Date:2025-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133N00000XDietary & Nutritional Service ProvidersNutritionist