Individual
ILAISAANE MINIONETI TONGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
208 CALDWELL AVE, LOS GATOS, CA 95032-5401
(408) 606-0860
Mailing address
526 COZY DR, SAN JOSE, CA 95123-4810
(408) 606-0860
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
06/09/2022
Last updated
06/09/2022
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