Individual
VANDA CLARECE MCCAULEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CERT HAIR LOSS SPEC.
Contact information
Practice address
5377 GLENBURRY WAY, SAN JOSE, CA 95123-1321
(408) 224-1224
(408) 224-1224
Mailing address
5377 GLENBURRY WAY, SAN JOSE, CA 95123-1321
(408) 224-1224
(408) 224-1224
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1744P3200X
CERTIFIED HAIR LOSS SPECLIAST
CA
Enumeration date
10/14/2015
Last updated
10/14/2015
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