Provider Demographics
NPI:1376753517
Name:TOGNETTI, JUDITH (LAC)
Entity Type:Individual
Prefix:
First Name:JUDITH
Middle Name:
Last Name:TOGNETTI
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1520 THE ALAMEDA
Mailing Address - Street 2:SUITE 130
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95126-2316
Mailing Address - Country:US
Mailing Address - Phone:408-458-6564
Mailing Address - Fax:
Practice Address - Street 1:1520 THE ALAMEDA
Practice Address - Street 2:SUITE 130
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95126-2316
Practice Address - Country:US
Practice Address - Phone:408-458-6564
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-23
Last Update Date:2009-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA10226171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist