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Organization
SAN JOSE MOTHERS' MILK BANK
Active
Organization
SAN JOSE MOTHERS' MILK BANK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PAULINE TOKIKO SAKAMOTO MS, RN, PHN (EXECUTIVE DIRECTOR)
(408) 885-3959
Entity
Organization
Contact information
Practice address
1887 MONTEREY HWY STE 110, SAN JOSE, CA 95112-6117
(408) 998-4550
(408) 297-9208
Mailing address
1887 MONTEREY HWY STE 110, SAN JOSE, CA 95112-6117
(408) 998-4550
(408) 297-9208
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
CNC80146
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
164184
CCS CGP NUMBER
CA
05
—
MMB000020
—
CA
Enumeration date
12/12/2006
Last updated
06/21/2018
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