Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NX0100X | Occupational Health | 25163 | CA |
NPI | 1326038126 |
---|---|
Provider Name | Dr. Sherry D Mcallister |
First Address | San Jose, CA 95125-5112 |
Second Address | San Jose, CA 95125-5112 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/10/2005 |
Last Update Date | 08/07/2007 |