Individual
MARY HAAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2425 SAMARITAN DR, SAN JOSE, CA 95124-3908
(408) 559-2011
Mailing address
855 HILLPOINT CT, SAN JOSE, CA 95120-1602
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA53362
CA
Other
Enumeration date
05/02/2016
Last updated
05/02/2016
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