Individual
ISABELLA PERICONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
105 N BASCOM AVE, STE 202, SAN JOSE, CA 95128-1811
(408) 993-1500
(408) 993-1521
Mailing address
PO BOX 321086, LOS GATOS, CA 95032-0118
(408) 680-0008
(408) 370-9088
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
86010521
—
Other
Enumeration date
04/30/2015
Last updated
04/30/2015
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