RAVEN CROSS

SAN JOSE, CA
NPI1114596624
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: CA  95019647)
Additional Taxonomies163WP0807X Registered Nurse, Psych/Mental Health, Child & Adolescent
(Licence: CA  95142217)
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: VA  0024183375)
Enumeration Date2021-06-18
Last Update Date2023-05-25
Business Address
RAVEN CROSS
1165 LINCOLN AVE STE 150
SAN JOSE, CA 95125-3045
Phone number: 408-372-8580
Mailing Address
RAVEN CROSS
1165 LINCOLN AVE STE 150
SAN JOSE, CA 95125-3045
Phone number: