Individual
EVANTHIA ANTONAKOPOULOU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, PHN, NP
Contact information
Practice address
2400 MOORPARK AVE, 300, SAN JOSE, CA 95128-2631
(408) 975-2730
Mailing address
2400 MOORPARK AVENUE, 300, SAN JOSE, CA 95128
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
771280
CA
363L00000X
Nurse Practitioner
22025
CA
Other
Enumeration date
08/02/2013
Last updated
08/02/2013
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