Individual
RAVEN CROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1165 LINCOLN AVE STE 150, SAN JOSE, CA 95125-3045
(408) 372-8580
Mailing address
1165 LINCOLN AVE STE 150, SAN JOSE, CA 95125-3045
Taxonomy
Speciality
Code
Description
License number
State
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
95142217
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
0024183375
VA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95019647
CA
Other
Enumeration date
06/18/2021
Last updated
05/25/2023
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