Organization
GARDNER FAMILY HEALTH NETWORK INC
Active
Other names
Independence High School
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA PEREZ (CREDENTIALING SPECIALIST)
(408) 938-2113
Entity
Organization
Contact information
Practice address
617 N JACKSON AVE, SAN JOSE, CA 95133-2345
(408) 938-2112
Mailing address
617 N JACKSON AVE, SAN JOSE, CA 95133-2345
(408) 938-2112
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
10/04/2024
Last updated
10/04/2024
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