Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111N00000X | Chiropractor | DC27707 | CA |
NPI | 1003981382 |
---|---|
Provider Name | Dr. Tom Nhu Vo |
First Address | San Jose, CA 95120-3417 |
Second Address | San Jose, CA 95124-2674 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 21/11/2006 |
Last Update Date | 09/07/2007 |