Individual
MRS. KSENIA EGOROVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
886 S 10TH ST, SAN JOSE, CA 95112-2433
(415) 465-0496
Mailing address
886 S 10TH ST, SAN JOSE, CA 95112-2433
(415) 465-0496
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
434416322
CA
Other
Enumeration date
03/11/2025
Last updated
03/11/2025
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