AGATHA N IHENACHO, LPT
Nursing at Silicon Valley Blvd, San Jose, CA

License number
California PT31594
Category
Nursing
Type
Licensed Psychiatric Technician
Address
Address 2
455 Silicon Valley Blvd, San Jose, CA 95138
6381 Blackberry Ct, Gilroy, CA 95020
Phone
(408) 284-9000
(408) 848-9802
National Provider ID: 1871622761
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Personal information

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Name
Address
Phone
Agatha N Ihenacho, age 61
17077 Holguin Ct, Fontana, CA 92336

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