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Individual

BRITTANY PROCHNOW

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1601 CUNNINGHAM AVE, SAN JOSE, CA 95122-2314
(510) 777-5300
Mailing address
15942 FOOTHILL BLVD, SAN LEANDRO, CA 94578-2102
(510) 317-1444

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
07/14/2014
Last updated
07/14/2014
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