Individual
MS. MARY MAGDALENE BRKICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
312 VISCAINO WAY, SAN JOSE, CA 95119-1630
(408) 828-5943
Mailing address
16920 MARBELLA CT, MORGAN HILL, CA 95037-7040
(408) 828-5943
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA14401
CA
363AS0400X
Surgical Physician Assistant
Primary
PA14401
CA
Other
Enumeration date
08/31/2006
Last updated
11/29/2021
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