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Individual

ROMAN A. CONTRERAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
EMT-B

Contact information

Practice address
399 KENBROOK CIR, SAN JOSE, CA 95111-3217
(408) 226-1004
Mailing address
399 KENBROOK CIR, SAN JOSE, CA 95111-3217
(408) 226-1004

Taxonomy

Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
Primary
E137766
CA

Other

Enumeration date
04/16/2021
Last updated
04/16/2021
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