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Organization

PRONURSEREGISTERY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
HANA ABOYE (AUTHORIZED OFFICIAL)
(408) 832-7165
Entity
Organization

Contact information

Practice address
1785 ALMADEN RD, SAN JOSE, CA 95125-1971
(408) 832-7165
Mailing address
1785 ALMADEN RD, SAN JOSE, CA 95125-1971
(408) 832-7165

Taxonomy

Speciality
Code
Description
License number
State
163WP2201X
Ambulatory Care Registered Nurse
Primary

Other

Enumeration date
08/14/2023
Last updated
09/19/2023
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