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Individual

MR. ALLAN BENJAMIN MOLINA JAMISON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
2680 S WHITE RD STE 200, SAN JOSE, CA 95148-2079
(408) 274-0888
(408) 274-2858
Mailing address
2680 S WHITE RD STE 200, SAN JOSE, CA 95148-2079
(408) 274-0888
(408) 274-2858

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
225100000X
Physical Therapist
Primary
301579
CA

Other

Enumeration date
09/10/2019
Last updated
01/26/2022
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