Individual
AYINDE FARAJI JUMOKE ELBERT LOUDD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
B.S
Contact information
Practice address
499 LOMA ALTA AVE, LOS GATOS, CA 95030-6227
(408) 335-1911
Mailing address
38 S 34TH ST, SAN JOSE, CA 95116-2412
(650) 630-0257
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
2470A2800X
Assistant Health Information Record Technician
—
—
Other
Enumeration date
11/11/2011
Last updated
11/20/2013
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