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Individual

LOUIS GIVENS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
ORTHOTIST PROSTHETIS

Contact information

Practice address
3801 MIRANDA AVE # 121, PALO ALTO, CA 94304-1207
(650) 493-5000
(650) 852-3267
Mailing address
46 W JULIAN ST UNIT 427, SAN JOSE, CA 95110-2488
(650) 493-5000
(650) 852-3267

Taxonomy

Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
CPO1860
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1860
ORTHOTIST/PROSTHETIST
CA
Enumeration date
08/18/2006
Last updated
07/08/2007
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