Organization
GBS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ED NASH (DIRECTOR)
(408) 379-3063
Entity
Organization
Contact information
Practice address
670 NELLO DR, 1, CAMPBELL, CA 95008-4723
(408) 379-3063
Mailing address
670 NELLO DR, 1, CAMPBELL, CA 95008-4723
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Enumeration date
02/04/2007
Last updated
08/22/2020
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