Individual provider · NPI-1

Daniel Austin, LVN

Licensed Vocational Nurse · San Jose, CA

NPI number1104299874
StatusActive
Last updated in NPPESNov 3, 2015

Details

NPI
1104299874
Entity type
Individual (NPI-1)
Name
Daniel Austin
Credential
LVN
Sex
Male
Sole proprietor
Yes
Enumeration date
Nov 3, 2015
Last updated
Nov 3, 2015

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
164X00000X Licensed Vocational NurseVN264072CAYes

Practice location

5502 Camden Ave Apt B5
San Jose, CA 95124-6405

Phone 669-254-6205

Mailing address

5502 Camden Ave Apt B5
San Jose, CA 95124-6405

Phone 669-254-6205

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