Individual
MRS. EUNICE O BALOGUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCP
Contact information
Practice address
130 DESCANSO DR, APT # 189, SAN JOSE, CA 95134-1890
(408) 623-2950
(650) 615-9995
Mailing address
130 DESCANSO DR, APT # 189, SAN JOSE, CA 95134-1890
(408) 623-2950
(650) 615-9995
Taxonomy
Speciality
Code
Description
License number
State
242T00000X
Perfusionist
Primary
991199
CA
Other
Enumeration date
11/01/2007
Last updated
11/01/2007
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