Individual provider · Type 1 NPI
Malika-Connie Ancheta
Case Management Registered Nurse · San Jose, CA
NPI number
1053699405
Active
Practice location
614 Tully Rd
San Jose, CA 95111-1048
Fax (408) 494-1557
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Case Management Registered Nurse Primary | 163WC0400X | 665731 (CA) |
Case Management Registered Nurse: Definition to come...
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About NPI 1053699405
Malika-Connie Ancheta's National Provider Identifier is 1053699405, issued on Aug 2, 2011. The primary taxonomy on file is Case Management Registered Nurse (163WC0400X), and the practice location is in San Jose, CA. The record was last updated on Aug 2, 2011.