Individual
DANIEL AUSTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LVN
Contact information
Practice address
5502 CAMDEN AVE APT B5, SAN JOSE, CA 95124-6405
(669) 254-6205
Mailing address
5502 CAMDEN AVE APT B5, SAN JOSE, CA 95124-6405
(669) 254-6205
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
VN264072
CA
Other
Enumeration date
11/03/2015
Last updated
11/03/2015
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