PRENTICE POWELL

Community/Behavioral Health

Active Individual
NPI: 1760880462

Practice Address

2177 ALUM ROCK AVE APT 139
San Jose, CA 95116

Phone: (510) 383-6335

Specialties

Specialty Code Primary License
Community/Behavioral Health 251S00000X Yes -

Frequently Asked Questions

NPI 1760880462 is the National Provider Identifier for PRENTICE POWELL, a Community/Behavioral Health provider located in San Jose, CA. This NPI was enumerated on December 11, 2014.
PRENTICE POWELL practices at 2177 ALUM ROCK AVE APT 139, San Jose, CA 95116.

Quick Facts

NPI
1760880462
Type
Individual
Enumerated
Dec 11, 2014
Last Updated
Dec 11, 2014

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