Leydith Chu Nolan | San Jose, CA • PECOS Search

Leydith Chu Nolan

Social Worker

Behavioral Health & Social Service Providers

210 N 4th St, Ste 100, San Jose, CA 95112-5569

PECOS Enrollment

Based on the most recent information from CMS, provider Leydith Chu Nolan does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1801041769
Provider Type
Individual
Full Name
Nolan, Leydith Chu
Gender
Female

Sole Proprietor
No
Enumeration Date
11/19/2008
Last Updated
11/24/2008

Contact Information

Practice Location

210 N 4th St, Ste 100, San Jose, CA 95112-5569

(408) 292-1029

Mailing Location

210 N 4th St, Ste 100, San Jose, CA 95112-5569

(408) 292-1029

Provider Taxonomies

Code	Description	License
Code 104100000X Primary	Description Social Worker Behavioral Health & Social Service Providers	License Unlisted Issuer