Organization
BLUE INDUSTRIAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN WOOLERY (CEO)
(408) 567-0941
Entity
Organization
Contact information
Practice address
3333 BOWERS AVE STE 130, SANTA CLARA, CA 95054-2928
(408) 567-0941
(925) 439-7002
Mailing address
3333 BOWERS AVE STE 130, SANTA CLARA, CA 95054-2928
(408) 567-0941
(925) 439-7002
Taxonomy
Speciality
Code
Description
License number
State
2471S1302X
Sonography Radiologic Technologist
Primary
—
—
Other
Enumeration date
03/25/2009
Last updated
03/25/2009
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