Individual
CONNIE KIM BRUNO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2105 FOREST AVE, SAN JOSE, CA 95128-1425
(408) 947-2500
Mailing address
10260 PARKWOOD DR APT 8, CUPERTINO, CA 95014-1431
(347) 822-5743
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
A169262
CA
Other
Enumeration date
06/17/2015
Last updated
07/10/2020
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