Individual
RENIA KAWANA MASTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
751 S BASCOM AVE, PODIATRY DEPARTMENT, SAN JOSE, CA 95128-2604
(408) 885-7821
Mailing address
751 S BASCOM AVE, SAN JOSE, CA 95128-2604
(408) 885-5000
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
E4146
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00E41460
—
CA
Enumeration date
04/25/2006
Last updated
10/23/2012
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