Individual
AMY NABUKO FUNGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
30 LAS COLINAS LN, SAN JOSE, CA 95119-1212
(408) 284-2812
(408) 284-2875
Mailing address
30 LAS COLINAS LN, SAN JOSE, CA 95119-1212
(408) 284-2812
(408) 284-2875
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT 22074
CA
Other
Enumeration date
04/01/2010
Last updated
04/01/2010
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