MR. Justice Renaissance, MHRS
NPI #1992878326 in San Jose, California
Provider Information
- NPI Number
- 1992878326
- Entity Type
- Individual
- Name
- MR. Justice Renaissance, MHRS
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Peer Specialist
- Credential
- MHRS
- Enumeration Date
- Nov 15, 2006
- Last Updated
- Apr 27, 2023
Practice Location
- Address
- 232 E GISH RD
- City
- San Jose
- State
- California
- ZIP Code
- 95112-4706
- Phone
- (408) 379-3790
Specialties & Taxonomy Codes
| Specialty |
|---|
| Peer Specialist |
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