Individual
MS. AMELIA ANN FYSTROM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
96 SO 14TH ST, LITTERAL HOUSE, SAN JOSE, CA 95112-2015
(408) 998-3293
(408) 998-0749
Mailing address
2001 THE ALAMEDA, ALLIANCE FOR COMMUNITY CARE, SAN JOSE, CA 95126-1136
(408) 261-7777
(408) 254-9960
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/01/2007
Last updated
07/08/2007
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