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Organization
SYNDICATE CORP
Active
Organization
SYNDICATE CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SHANNON SEVOR (CEO)
(408) 740-5565
Entity
Organization
Contact information
Practice address
350 N 2ND ST APT 131, SAN JOSE, CA 95112-4096
(408) 740-5565
Mailing address
1720 JASPER HIGHLANDS DR, MORGAN HILL, CA 95037-9164
(408) 740-5565
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
—
—
133VN1201X
Obesity and Weight Management Nutrition Registered Dietitian
—
—
171400000X
Health & Wellness Coach
—
—
2251S0007X
Sports Physical Therapist
—
—
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
—
—
251E00000X
Home Health Agency
—
—
Other
Enumeration date
10/17/2022
Last updated
10/17/2022
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