Individual
DANIA KRYSTEL VIVEROS MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
232 E GISH RD, SAN JOSE, CA 95112-4706
(916) 388-6339
Mailing address
2774 MONTEREY HWY APT 42, SAN JOSE, CA 95111-3135
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
172V00000X
Community Health Worker
—
—
225400000X
Rehabilitation Practitioner
Primary
—
CA
Other
Enumeration date
05/07/2019
Last updated
01/27/2026
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