Individual
MS. MARY ANNE LANGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
614 TULLY RD, SAN JOSE, CA 95111-1048
(408) 494-1517
(408) 494-1557
Mailing address
614 TULLY RD, SAN JOSE, CA 95111-1048
(408) 494-1517
(408) 494-1557
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
564138
CA
Other
Enumeration date
11/29/2007
Last updated
11/29/2007
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