SALLY E NACIANCENO MD INC
Osteopathic Medicine at Jackson Ave, San Jose, CA

License number
California A29762
Category
Osteopathic Medicine
Type
Gastroenterology
Owner
Name: DR. SALLY E NACIANCENO MD
Title: PRESIDENT
Phone: (408) 251-3364
Address
Address
175 N Jackson Ave STE 110, San Jose, CA 95116
National Provider ID: 1396960605
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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SALLY E. NACIANCENO, M.D., INC

175 N Jackson Ave #110, San Jose, CA 95116

Industry:
Medical Doctor's Office
Doing business as:
Sally E Nacianceno MD
Registration:
Sep 24, 1980
Phone:
(408) 251-3364 (Phone)
State ID:
C1025338
Business type:
Articles of Incorporation
Managers:
Salome Nacianceno (President),Sally Nacianceno (Gastroenterology, Medical Doctor),Rose D. Palma (Internal Medicine),...
Categories:
Gastroenterology Physicians & Surgeons, Internal Medicine Physicians & Surgeons, Physicians & Surgeons
Products:
Internal Medicine

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