Individual
JARA JUDAIA AVILA GUZMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
554 GROTH PL, SAN JOSE, CA 95111-4501
(408) 489-9480
Mailing address
160 E VIRGINIA ST STE 100, SAN JOSE, CA 95112-5865
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
—
CA
Other
Enumeration date
08/18/2021
Last updated
08/18/2021
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