MRS. Eunice O Balogun, CCP

NPI #1215116678 in San Jose, California

Provider Information

NPI Number: 1215116678
Entity Type: Individual
Name: MRS. Eunice O Balogun, CCP
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Perfusionist
Credential: CCP
Enumeration Date: Nov 1, 2007
Last Updated: Nov 1, 2007

Practice Location

Address: 130 DESCANSO DR
Address 2: APT # 189
City: San Jose
State: California
ZIP Code: 95134-1890
Phone: (408) 623-2950

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Perfusionist	242T00000X	Primary

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