Individual
MR. JUAN RAMON ZAGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPT
Contact information
Practice address
2221 ENBORG LN, SAN JOSE, CA 95128-2608
(408) 885-6220
(408) 885-3977
Mailing address
2221 ENBORG LN, SAN JOSE, CA 95128-2608
(408) 885-6220
(408) 885-3977
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
35666
CA
Other
Enumeration date
10/07/2020
Last updated
10/07/2020
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