Individual
MRS. BISRAT G TESFAI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NURSE LVN
Contact information
Practice address
1274 CITY VIEW PL, SAN JOSE, CA 95127-4333
(408) 254-1040
Mailing address
4672 MORNING BROOK LN, TRACY, CA 95377-8715
(208) 835-7696
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
VN 155621
CA
Other
Enumeration date
08/23/2008
Last updated
08/23/2008
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