Individual
DR. FATANEH HOOSHDARAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
1610 BLOSSOM HILL RD, SUITE#1, SAN JOSE, CA 95124-6349
(408) 448-0247
(408) 448-0176
Mailing address
1610 BLOSSOM HILL RD, SUITE#1, SAN JOSE, CA 95124-6349
(408) 448-0247
(408) 448-0176
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC 29322
CA
Other
Enumeration date
07/11/2006
Last updated
07/08/2007
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