Individual
FANNITER MUI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3180 NEWBERRY DR STE 200, SAN JOSE, CA 95118-1566
(408) 513-8722
Mailing address
3180 NEWBERRY DR STE 200, SAN JOSE, CA 95118-1566
(408) 513-8722
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
—
—
Other
Enumeration date
02/14/2018
Last updated
02/14/2018
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