Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251H1200X | Hand | 6812 | CA |
NPI | 1336271766 |
---|---|
Provider Name | Ms. Anne M Burney |
First Address | San Jose, CA 95119 |
Second Address | San Jose, CA 95119-1106 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 12/03/2007 |
Last Update Date | 11/02/2022 |