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Individual

MS. SUNSHINE NELSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPT

Contact information

Practice address
871 ENBORG CT UNIT 100, SAN JOSE, CA 95128-2645
(408) 885-7855
(408) 885-7854
Mailing address
871 ENBORG CT UNIT 100, SAN JOSE, CA 95128-2645
(408) 885-7855
(408) 885-7854

Taxonomy

Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
PT25966
CA

Other

Enumeration date
03/11/2009
Last updated
03/11/2009
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