Individual
MR. ARMANDO AMEZCUA JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
232 E GISH RD, SAN JOSE, CA 95112-4706
(408) 453-7616
Mailing address
251 LLEWELLYN AVE, CAMPBELL, CA 95008-1940
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
CA
Other
Enumeration date
02/26/2016
Last updated
07/20/2016
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