Individual
ROBERT LEANARD CRETH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
871 ENBORG CT, UNIT 100, SAN JOSE, CA 95128-2645
(408) 885-7855
Mailing address
2902 MITTON DR, SAN JOSE, CA 95148-2808
(408) 580-6121
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
—
—
Other
Enumeration date
08/05/2009
Last updated
08/05/2009
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