Organization · Type 2 NPI
The Great Sally, LLC
Health Service Clinic/Center · San Jose, CA
NPI number
1720515604
Active
Practice location
25 N 14th St Ste 440
San Jose, CA 95112-6201
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Health Service Clinic/Center Primary | 261QH0100X | None listed |
Health Service Clinic/Center: Definition to come...
Another provider at this address
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About NPI 1720515604
The Great Sally, LLC's National Provider Identifier is 1720515604, issued on May 22, 2017. The primary taxonomy on file is Health Service Clinic/Center (261QH0100X), and the practice location is in San Jose, CA. The record was last updated on May 22, 2017.