Individual
ROSE MAE MANGAHAS PABLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1555 PARKMOOR AVE, SAN JOSE, CA 95128-2407
(408) 282-0402
(408) 282-0400
Mailing address
1555 PARKMOOR AVE, SAN JOSE, CA 95128-2407
(408) 282-0402
(408) 282-0400
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
720992
CA
Other
Enumeration date
07/24/2023
Last updated
07/24/2023
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