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Individual

MR. DAVID SISSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CNS

Contact information

Practice address
80 GREAT OAKS BLVD, SAN JOSE, CA 95119-1310
(408) 363-3000
(408) 363-3046
Mailing address
952 S 11TH ST UNIT 230, SAN JOSE, CA 95112-2477
(408) 363-3000
(408) 363-3046

Taxonomy

Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
412440
CA

Other

Enumeration date
07/24/2006
Last updated
07/08/2007
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