Individual
AJA BASU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
5440 THORNWOOD DR STE G, SAN JOSE, CA 95123-1217
(408) 281-9777
Mailing address
1691 THE ALAMEDA, SAN JOSE, CA 95126-2203
(408) 287-7526
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
95023099
CA
Other
Enumeration date
10/31/2022
Last updated
12/05/2022
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