# ARAEOFPHRESHAIR LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Phresh Air LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1720736440
- **Authorized official:** RAVEN AMELIA CROSS PMHNP (CEO)
- **Authorized official phone:** (408) 372-8580

## Contact information

- **Practice address:** 1165 LINCOLN AVE \# 1887, SAN JOSE, CA 95125-3043
- **Practice address phone:** (408) 372-8580
- **Mailing address:** 1165 LINCOLN AVE \# 1887, SAN JOSE, CA 95125-3043

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 03/11/2022
- **Last updated:** 03/11/2022
