Individual
AUTUMN CB LEAVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
438 N WHITE RD, SAN JOSE, CA 95127-1439
(408) 254-6828
(408) 642-6052
Mailing address
1922 THE ALAMEDA STE 316, SAN JOSE, CA 95126-1461
(408) 261-7777
(408) 642-6052
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
07/30/2025
Last updated
07/31/2025
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