Individual
AZADEH ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1340 TULLY RD STE 301, SAN JOSE, CA 95122-3055
(408) 271-3900
(408) 380-7397
Mailing address
1340 TULLY RD STE 301, SAN JOSE, CA 95122-3055
(408) 271-3900
(408) 380-7397
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
RI-A1101071139
CA
Other
Enumeration date
09/18/2014
Last updated
09/18/2014
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