Most Relevant Information
Provider Data
| NPI Number: | 1003213679 |
| Provider Name: | JODIE SUGIYAMA GNP |
| Entity Type: | Individual |
| Taxonomy Code: | 363LG0600X |
| Specialty: | Nurse Practitioner |
| License Number: | 383997 |
Most Important Dates
| Enumeration Date: | 11/26/2014 |
| Last Updated: | 11/26/2014 |
Provider Practice Location
4850 UNION AVE
SAN JOSE
CA
951245156
Practice Location Phone/Fax
| Phone: | 4085595600 |
| Fax: |
Provider Mailing Location
4850 UNION AVE
SAN JOSE
CA
951245156
Provider Mailing Phone/Fax
| Phone: | 4085595600 |
| Fax: |