Individual
MRS. AMANDA JAYNE CALDWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
232 E GISH RD, SAN JOSE, CA 95112-4706
(408) 876-4214
(408) 876-4230
Mailing address
232 E GISH RD, SAN JOSE, CA 95112-4706
(408) 876-4214
(408) 876-4230
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4690
COUNTY ID
CA
Enumeration date
11/29/2006
Last updated
07/08/2007
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