Individual
ABHIJISHYO JANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LVN
Contact information
Practice address
251 LLEWELLYN AVE, CAMPBELL, CA 95008-1940
(408) 379-3790
Mailing address
251 LLEWELLYN AVE, CAMPBELL, CA 95008-1940
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
146N00000X
Basic Emergency Medical Technician
E172515
—
164X00000X
Licensed Vocational Nurse
Primary
736047
CA
Other
Enumeration date
10/20/2021
Last updated
10/17/2023
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