Shane Saputra

NPI #1023762259 in San Jose, California

Provider Information

NPI Number
1023762259
Entity Type
Individual
Name
Shane Saputra
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Registered Nurse
Enumeration Date
Feb 7, 2022
Last Updated
Feb 7, 2022

Practice Location

Address
425 E SANTA CLARA ST
ZIP Code
95113-1936
Phone
(669) 245-3429

Specialties & Taxonomy Codes

Specialty
Registered Nurse

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