Individual
IRA VERGARA AMAYUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSN, MPH, DNP, FNP-C
Contact information
Practice address
39141 CIVIC CENTER DR STE 130, FREMONT, CA 94538-5831
(510) 248-1680
Mailing address
2080 SARASOTA AVE, SAN JOSE, CA 95122-2371
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
95018990
CA
Other
Enumeration date
08/18/2021
Last updated
10/16/2023
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