NPI 1003365180
Evangelina Jacy
Practice location
- Address
- 1820 Bethany Ave, San Jose, CA 95132-1514
- Phone
- (408) 250-2568
- Fax
- (408) 729-3282
- Mailing address
- 1824 Bethany Ave, San Jose, CA 95132-1514
Registered specialties
Assisted Living Facility
Primary
Registry record
- NPI
- 1003365180
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 29 Sep 2016
- Record last updated
- 29 Sep 2016
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.