Individual
AMANDA NICOLE DELGADO HEERBOTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
5671 SANTA TERESA BLVD, 105, SAN JOSE, CA 95123-6512
(408) 284-2280
(408) 754-0450
Mailing address
1452 ALEGRIA LOOP, SAN JOSE, CA 95128-4559
(408) 666-4146
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
Primary
779153
CA
Other
Enumeration date
12/11/2012
Last updated
12/11/2012
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