Most Relevant Information
Provider Data
| NPI Number: | 1003381260 |
| Provider Name: | JENNIFER BALGOS SANTANDER |
| Entity Type: | Individual |
| Taxonomy Code: | 164X00000X |
| Specialty: | Licensed Vocational Nurse |
| License Number: | 700217 |
Most Important Dates
| Enumeration Date: | 10/03/2018 |
| Last Updated: | 10/03/2018 |
Provider Practice Location
2001 THE ALAMEDA
SAN JOSE
CA
951261136
Practice Location Phone/Fax
| Phone: | 4082617777 |
| Fax: | 4082592273 |
Provider Mailing Location
3549 SQUIRECREEK CIR
SAN JOSE
CA
951211848
Provider Mailing Phone/Fax
| Phone: | 4082077584 |
| Fax: |