Organization
ARAEOFPHRESHAIR LLC
Active
Other names
Phresh Air LLC
Organization subpart
No
Provider details
NPI number
Authorized official
RAVEN AMELIA CROSS PMHNP (CEO)
(408) 372-8580
Entity
Organization
Contact information
Practice address
1165 LINCOLN AVE # 1887, SAN JOSE, CA 95125-3043
(408) 372-8580
Mailing address
1165 LINCOLN AVE # 1887, SAN JOSE, CA 95125-3043
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
03/11/2022
Last updated
03/11/2022
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