Most Relevant Information
Provider Data
| NPI Number: | 1003470337 |
| Provider Name: | SUSAN MARKHAM |
| Entity Type: | Individual |
| Taxonomy Code: | 171M00000X |
| Specialty: | Case Manager/Care Coordinator |
| License Number: |
Most Important Dates
| Enumeration Date: | 04/22/2019 |
| Last Updated: | 04/22/2019 |
Provider Practice Location
2001 THE ALAMEDA
SAN JOSE
CA
951261136
Practice Location Phone/Fax
| Phone: | 4082617777 |
| Fax: | 4082592273 |
Provider Mailing Location
1474 HICKS AVE
SAN JOSE
CA
951253821
Provider Mailing Phone/Fax
| Phone: | 4085910086 |
| Fax: |