Healthcare Provider Details

I. General information

NPI: 1366935744
Provider Name (Legal Business Name): FRANCESS N SESAY
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: FRANCESS N BANGAH

II. Dates (important events)

Enumeration Date: 06/11/2018
Last Update Date: 06/11/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

826 FARM DR
SAN JOSE CA
95136-1034
US

IV. Provider business mailing address

826 FARM DR
SAN JOSE CA
95136-1034
US

V. Phone/Fax

Practice location:
  • Phone: 408-508-9645
  • Fax:
Mailing address:
  • Phone: 408-508-9645
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: