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Individual

ASHLEY CANTU

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1334 KIPLING CT, SAN JOSE, CA 95118-2016
(408) 728-3771
Mailing address
1334 KIPLING CT, SAN JOSE, CA 95118-2016

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
172V00000X
Community Health Worker
F2778131
CA

Other

Enumeration date
02/06/2023
Last updated
09/28/2023
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