Individual
IDRIS CONTEH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2895 JOSEPH AVE APT 1, CAMPBELL, CA 95008-6214
(408) 661-2121
Mailing address
2895 JOSEPH AVE APT 1, CAMPBELL, CA 95008-6214
(408) 661-2121
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
775969
CA
Other
Enumeration date
07/31/2014
Last updated
07/31/2014
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