Individual
MRS. JACKI D KENTZEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
232 E GISH RD, SAN JOSE, CA 95112-4706
(408) 876-4283
(408) 247-4162
Mailing address
232 E GISH RD, SAN JOSE, CA 95112-4706
(408) 876-4283
(408) 247-4162
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
12/01/2006
Last updated
07/08/2007
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