Individual
VENN WILFRED MADERAZO PENALES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
101 JOSE FIGUERES AVE STE 50, SAN JOSE, CA 95116-2068
(408) 207-0560
(408) 642-6052
Mailing address
1922 THE ALAMEDA STE 316, SAN JOSE, CA 95126-1461
(408) 261-7777
(408) 642-6052
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
95345111
CA
Other
Enumeration date
01/18/2021
Last updated
04/01/2025
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