Individual
JOSEPHINE ANG AYSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
711 CLYDE AVE, SANTA CLARA, CA 95054-1902
(408) 250-2676
(408) 727-7152
Mailing address
711 CLYDE AVE, SANTA CLARA, CA 95054-1902
(408) 250-2676
(408) 727-7152
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
244665
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
244665
LVN LICENSE
CA
Enumeration date
03/05/2014
Last updated
03/05/2014
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