ELLEN PEREZ TRAVIS

SAN JOSE, CA
NPI1396743217
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: CA  418417-9309)
Enumeration Date2005-07-13
Last Update Date2023-03-07
Business Address
-- ELLEN PEREZ TRAVIS NP
751 S BASCOM AVE
SAN JOSE, CA 95128-2604
Phone number: 408-885-6780
Mailing Address
-- ELLEN PEREZ TRAVIS NP
542 VALLEY FORGE WAY
CAMPBELL, CA 95008-0547
Phone number: 408-793-6771