ELLEN CHURCH

Physician Assistant

Active Individual
NPI: 1275046591

Practice Address

130 E SAN FERNANDO ST APT 410
San Jose, CA 95112

Phone: (408) 775-1411

Specialties

Specialty Code Primary License
Physician Assistant 363A00000X Yes -

Frequently Asked Questions

NPI 1275046591 is the National Provider Identifier for ELLEN CHURCH, a Physician Assistant provider located in San Jose, CA. This NPI was enumerated on November 8, 2017.
ELLEN CHURCH practices at 130 E SAN FERNANDO ST APT 410, San Jose, CA 95112.

Quick Facts

NPI
1275046591
Type
Individual
Enumerated
Nov 8, 2017
Last Updated
Feb 2, 2018

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