Individual
AMBER ENLOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
102 LAMMERHAVEN CT, SAN JOSE, CA 95111-3715
(650) 279-0006
Mailing address
102 LAMMERHAVEN CT, SAN JOSE, CA 95111-3715
(650) 279-0006
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
285812
CA
Other
Enumeration date
05/14/2015
Last updated
05/14/2015
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