SHANE SAPUTRA

SAN JOSE, CA
NPI1023762259
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy163W00000X Registered Nurse
(Licence: CA  95260284)
Enumeration Date2022-02-07
Last Update Date2022-02-07
Business Address
SHANE SAPUTRA
425 E SANTA CLARA ST
SAN JOSE, CA 95113-1936
Phone number: 669-245-3429
Mailing Address
SHANE SAPUTRA
425 E SANTA CLARA ST
SAN JOSE, CA 95113-1936
Phone number:
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