NPI 1336684216

Diana Fontanilla

Practitioner Assisted Living Facility San Jose, CA

Practice location

Address: 259 Checkers Dr, San Jose, CA 95116-1348
Phone: (408) 768-3287

Registered specialties

Assisted Living Facility Primary

Nursing & Custodial Care Facilities Taxonomy 310400000X

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Registry record

NPI: 1336684216
Entity type: Individual
Sex (as registered): Female
NPI issued: 30 Dec 2016
Record last updated: 30 Dec 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.