Most Relevant Information
Provider Data
| NPI Number: | 1003522178 |
| Provider Name: | GIDEON CLAY WANDERA |
| Entity Type: | Individual |
| Taxonomy Code: | 171M00000X |
| Specialty: | Case Manager/Care Coordinator |
| License Number: |
Most Important Dates
| Enumeration Date: | 01/23/2023 |
| Last Updated: | 01/23/2023 |
Provider Practice Location
9015 MURRAY AVE
GILROY
CA
950203673
Practice Location Phone/Fax
| Phone: | 4088427138 |
| Fax: |
Provider Mailing Location
9015 MURRAY AVE
GILROY
CA
950203673
Provider Mailing Phone/Fax
| Phone: | 4088427138 |
| Fax: |