Individual
CODY WHITLEY PUTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
957 INDUSTRIAL RD STE B, SAN CARLOS, CA 94070-4152
(650) 620-9549
Mailing address
212 ROOSEVELT BLVD, HALF MOON BAY, CA 94019-1346
(650) 255-1284
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
03/19/2019
Last updated
03/19/2019
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