Individual provider · NPI-1

Brenda L Angulo, LVN

Licensed Vocational Nurse · San Jose, CA

NPI number1740029784
StatusActive
Last updated in NPPESMay 21, 2024

Details

NPI
1740029784
Entity type
Individual (NPI-1)
Name
Brenda L Angulo
Credential
LVN
Sex
Female
Sole proprietor
No
Enumeration date
May 20, 2024
Certification date
May 21, 2024
Last updated
May 21, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
164X00000X Licensed Vocational Nurse740180CAYes

Practice location

2 N Market St Ste 300
San Jose, CA 95113-1211

Phone 510-210-3233

Mailing address

2 N Market St Ste 300
San Jose, CA 95113-1211

Phone 510-210-3233

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