Individual
DR. SALLY ESCARDA NACIANCENO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
175 N JACKSON AVE, #110, SAN JOSE, CA 95116-1909
(408) 251-3364
(408) 251-8260
Mailing address
175 N JACKSON AVE, SUITE #110, SAN JOSE, CA 95116-1909
(408) 251-3364
(408) 251-8260
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
A029762
CA
Other
Enumeration date
09/05/2006
Last updated
07/17/2010
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