Individual
DELE A ELESHO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1555 PARKMOOR AVE, SAN JOSE, CA 95128-2407
(408) 282-0402
Mailing address
1555 PARKMOOR AVE, SAN JOSE, CA 95128-2407
(408) 282-0402
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
01/13/2022
Last updated
06/10/2025
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