Individual
MARIE JAN FORONDA-CAYABYAB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
300 S 22ND ST, SAN JOSE, CA 95116-2727
(510) 915-0629
Mailing address
300 S 22ND ST, SAN JOSE, CA 95116-2727
(510) 915-0629
Taxonomy
Speciality
Code
Description
License number
State
376G00000X
Nursing Home Administrator
Primary
—
—
Other
Enumeration date
06/13/2018
Last updated
06/13/2018
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