Individual provider · Type 1 NPI
Christine Suzanne Koselak
Specialist · San Jose, CA
NPI number
1669998324
Active
Practice location
1936 Camden Ave Ste 9
San Jose, CA 95124-2845
Mailing address
14567 Big Basin Way Ste D2
Saratoga, CA 95070-6039
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | 30000094L (CA) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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About NPI 1669998324
Christine Suzanne Koselak's National Provider Identifier is 1669998324, issued on Aug 15, 2017. The primary taxonomy on file is Specialist (174400000X), and the practice location is in San Jose, CA. The record was last updated on Jun 14, 2021.