Individual
ELIZABETH RYAN VIDOVICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
2540 FOREST AVE, SAN JOSE, CA 95117-1117
(408) 642-5039
(408) 642-5039
Mailing address
2540 FOREST AVE, SAN JOSE, CA 95117-1117
(408) 642-5039
(408) 642-5039
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
CA
164W00000X
Licensed Practical Nurse
Primary
VN230370
CA
167G00000X
Licensed Psychiatric Technician
VN203070
CA
Other
Enumeration date
08/29/2013
Last updated
08/29/2013
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us