NPI Profile for MARY E DUZAK in SAN JOSE, CA.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Addiction (Substance Use Disorder) |
101YA0400X | |||
Behavior Technician |
106S00000X | |||
Pharmacy Technician |
183700000X |
| NPI # | 1851916423 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 06/10/2020 | |
| Last updated | 09/13/2020 - About 6 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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MARY E DUZAK
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