Individual
CERITA JANE LEYVA GABRIANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
333 SOQUEL WAY, SUNNYVALE, CA 94085-4102
(408) 736-7600
Mailing address
333 SOQUEL WAY, SUNNYVALE, CA 94085-4102
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
307124
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1053320325
NON-MEDICARE
CA
01
—
ZZZ29361Z
NON-MEDICARE
CA
Enumeration date
11/20/2024
Last updated
12/03/2024
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