| NPI | 1104657501 |
|---|---|
| Other Name | WILLOW GLEN HIGH SCHOOL |
| Entity Type | Organization |
| Authorized Contact | LAURA PEREZ Credentialing Specialist 408-938-2113 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Enumeration Date | 2024-08-08 |
| Last Update Date | 2024-08-08 |