Individual
BINDU LALITHA BHAI SOMAN EDWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
2577 SAMARITAN DR, SAN JOSE, CA 95124-4100
(408) 871-3400
Mailing address
2084 CALLE MESA ALTA, MILPITAS, CA 95035-7852
(248) 943-7121
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
4704254186
MI
363LF0000X
Family Nurse Practitioner
Primary
95017140
CA
363LP2300X
Primary Care Nurse Practitioner
95017140
CA
Other
Enumeration date
10/15/2014
Last updated
03/14/2022
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