Individual
MRS. CHANNARY BILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2400 MOORPARK AVE STE 300, SAN JOSE, CA 95128-2680
(408) 975-2730
Mailing address
2400 MOORPARK AVE STE 300, SAN JOSE, CA 95128-2680
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
08/23/2013
Last updated
08/23/2013
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