Individual
DR. ANN MARIE WOTHERSPOON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.P.M.
Contact information
Practice address
1425 FRUITDALE AVE., SAN JOSE, CA 95128
(408) 448-2680
Mailing address
1792 ROSSWOOD DR., SAN JOSE, CA 95124-5223
(408) 448-2680
(408) 448-2680
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
E 3518
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5372519
—
CA
Enumeration date
10/02/2006
Last updated
07/09/2007
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