Individual
MRS. NISHA PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPT
Contact information
Practice address
1990 FRUITDALE AVENUE, SAN JOSE, CA 95128
(408) 998-8447
Mailing address
355 NORTH WOLFE ROAD, APT# 415, SUNNYVALE, CA 94085
(213) 675-4064
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
PT29905
CA
Other
Enumeration date
05/01/2007
Last updated
07/08/2007
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