INXS M FIODEMBO

SAN JOSE, CA
NPI1164970844
Former NameINXS M CHANDLER
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: CA  NP95008817)
Additional Taxonomies363LF0000X Nurse Practitioner, Family
(Licence: OH  RN.361495)
Enumeration Date2016-09-12
Last Update Date2020-06-03
Business Address
INXS M FIODEMBO
685 COLEMAN AVE
SAN JOSE, CA 95110-2011
Phone number: 800-972-5547
Mailing Address
INXS M FIODEMBO
325 DISTEL CIR
LOS ALTOS, CA 94022-1408
Phone number: 800-972-5547