Individual
MR. EDWARD ALPHONSE WAPLES II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
290 IOOF AVE, GILROY, CA 95020-5204
(408) 846-2100
Mailing address
7581 MILLER AVE, GILROY, CA 95020-5511
(408) 337-1619
Taxonomy
Speciality
Code
Description
License number
State
323P00000X
Psychiatric Residential Treatment Facility
Primary
553711
CA
Other
Enumeration date
09/28/2012
Last updated
09/28/2012
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