Individual
CHARLIE SUASTEGUI MOLINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
921 S 1ST ST, SAN JOSE, CA 95110-3126
(408) 938-6731
(408) 283-6152
Mailing address
2625 ZANKER RD, SAN JOSE, CA 95134-2130
(408) 325-5105
(408) 944-0275
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/16/2018
Last updated
07/16/2018
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