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Individual

CHARISSA FARRIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
2516 SAMARITAN DR STE B, SAN JOSE, CA 95124-4108
(408) 356-3777
Mailing address
2516 SAMARITAN DR STE B, SAN JOSE, CA 95124-4108
(408) 356-3777

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
26362
AL
207X00000X
Orthopaedic Surgery Physician
Primary
A104802
CA

Other

Enumeration date
05/21/2007
Last updated
10/03/2013
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