Individual
CARL WANKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2625 ZANKER RD, SAN JOSE, CA 95134-2130
(408) 325-5147
(408) 944-0200
Mailing address
2625 ZANKER RD, SAN JOSE, CA 95134-2130
(408) 325-5147
(408) 944-0200
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
03/07/2017
Last updated
03/07/2017
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