MARY AZAH

SAN JOSE, CA
NPI1407208846
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy163WC1500X Registered Nurse, Community Health
(Licence: CA  480700)
Additional Taxonomies363LF0000X Nurse Practitioner, Family
(Licence: CA  95005580)
Enumeration Date2016-07-11
Last Update Date2019-02-05
Business Address
MARY AZAH
160 E VIRGINIA ST STE 100
SAN JOSE, CA 95112-5865
Phone number: 408-694-8463
Mailing Address
MARY AZAH
1724 SAMSON CT
SAN JOSE, CA 95124-4600
Phone number: 408-694-8463