Individual
MYRA PATAWARAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1775 STORY RD STE 120, SAN JOSE, CA 95122-1942
(408) 817-6894
(408) 494-1557
Mailing address
1775 STORY RD STE 120, SAN JOSE, CA 95122-1942
(408) 817-6894
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
95218035
CA
Other
Enumeration date
06/14/2022
Last updated
06/14/2022
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