Individual
SINATH PROM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN FIRST ASSISTANT
Contact information
Practice address
1642 TRIESTE CT, SAN JOSE, CA 95122-3833
(562) 394-5977
Mailing address
1642 TRIESTE CT, SAN JOSE, CA 95122-3833
(562) 394-5977
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
823824
CA
Other
Enumeration date
08/14/2019
Last updated
08/14/2019
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