Gladys Devano
Family Medicine in San Jose, CA. Individual provider (NPI-1).
NPI number1962026435
StatusActive
Last updated in NPPESFeb 4, 2025
Details
- NPI
- 1962026435
- Entity type
- Individual (NPI-1)
- Name
- Gladys Devano
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 1, 2020
- Certification date
- Feb 4, 2025
- Last updated
- Feb 4, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 20A21044 | CA | Yes |
| 207Q00000X | Family Medicine | DOSR-504 | HI |
Practice location
751 S Bascom AveSan Jose, CA 95128-2699
Phone 888-334-1000 · Fax 408-852-2288
Mailing address
751 S Bascom AveSan Jose, CA 95128-2699
Phone 888-334-1000
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