Individual
MRS. AGNES CHINGTUEN LO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
34400 MISSION BLVD, UNION CITY, CA 94587-3604
(510) 429-6472
Mailing address
4721 LE BEAU CT, FREMONT, CA 94555-2506
(510) 793-7963
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
560
CA
Other
Enumeration date
05/02/2007
Last updated
07/08/2007
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