Individual
JOSE PUENTE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
90 HIGHLAND AVE, SAN MARTIN, CA 95046-9504
(408) 852-2420
Mailing address
5959 GEMWOOD LOOP, SAN JOSE CA 95123, SAN JOSE, CA 95123
(408) 771-3740
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
210961
CA
Other
Enumeration date
12/31/2024
Last updated
01/15/2025
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