Prentice Powell
NPI #1760880462 in San Jose, California
Provider Information
- NPI Number
- 1760880462
- Entity Type
- Individual
- Name
- Prentice Powell
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Community/Behavioral Health
- Enumeration Date
- Dec 11, 2014
- Last Updated
- Dec 11, 2014
Practice Location
- Address
- 2177 ALUM ROCK AVE APT 139
- City
- San Jose
- State
- California
- ZIP Code
- 95116-2063
- Phone
- (510) 383-6335
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community/Behavioral Health |
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