Individual
MAXINNE CASTRENCE OCAMPO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, PHN
Contact information
Practice address
1775 STORY RD, SAN JOSE, CA 95122-1900
(408) 494-1500
Mailing address
1775 STORY RD, SAN JOSE, CA 95122-1900
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
826357
CA
163WC1500X
Community Health Registered Nurse
Primary
84382
CA
Other
Enumeration date
07/30/2020
Last updated
09/02/2021
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