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Individual

AIVY THERESE LEVAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
EMT

Contact information

Practice address
232 E GISH RD, SAN JOSE, CA 95112-4706
(669) 326-0605
Mailing address
351 WINDSONG WAY, GILROY, CA 95020-7649
(408) 630-9039

Taxonomy

Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
CA

Other

Enumeration date
11/04/2025
Last updated
11/04/2025
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