Search › California › 124Q00000X
Maryann Detar
NPI 1285234047 · on the registry since 2020
Practice
- Address
- 3154 Alum Rock Ave
San Jose, CA 95127 - Phone
- (669) 232-0311
Registry record
- Primary taxonomy
- 124Q00000X
124Q00000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2020-10-29
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California