Individual
ABEL BIRUK EDOSSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
751 S BASCOM AVE, SAN JOSE, CA 95128-2699
(408) 885-5000
Mailing address
751 S BASCOM AVE, SAN JOSE, CA 95128-2699
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/09/2024
Last updated
04/09/2024
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