Individual
ISAIAH PLASCENCIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1466 JEFFERSON ST, SANTA CLARA, CA 95050-4603
(408) 217-8007
Mailing address
323 AVENIDA PINOS, SAN JOSE, CA 95123-1514
(408) 622-8434
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
237573664-00001
CA
Other
Enumeration date
03/01/2023
Last updated
03/01/2023
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