Individual
DHARITRI PATTANAIK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2919 QUEENS ESTATES CT, SAN JOSE, CA 95135
(408) 410-1726
Mailing address
2919 QUEENS ESTATES CT, SAN JOSE, CA 95135
(408) 410-1726
Taxonomy
Speciality
Code
Description
License number
State
227900000X
Registered Respiratory Therapist
Primary
31648
CA
Other
Enumeration date
02/01/2019
Last updated
02/01/2019
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