Individual
STEPHANIE HIDEKO TADEMARU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
175 N JACKSON AVE STE 204, SAN JOSE, CA 95116-1909
(408) 272-2292
(408) 272-2288
Mailing address
5703 MAKATI CIR APT H, SAN JOSE, CA 95123-6204
(408) 250-8824
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
AU1440
CA
Other
Enumeration date
09/18/2019
Last updated
09/18/2019
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