Individual
MARK SENEGAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2202 N 1ST ST, SAN JOSE, CA 95131-2007
(408) 518-9435
Mailing address
702 W TAYLOR ST, SAN JOSE, CA 95126-1845
(408) 518-9435
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
04/17/2024
Last updated
10/24/2024
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