Mary Azah

NPI 1407208846 · on the registry since 2016 · sole proprietor

Practice

Address: 160 E Virginia St Ste 100
San Jose, CA 95112
Phone: (408) 694-8463
Organisation at this address: Willow Glen High
Allen At Steinbeck
Gardner Family Care
Broadway High School
Gardner Family Health
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 590

Registry record

Primary taxonomy: 163WC1500X
163WC1500X
Also registered as: 363LF0000X
Licence states on file: CA
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2019-02-05

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