Individual
ANGELA KONDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2542 S BASCOM AVE STE 100, CAMPBELL, CA 95008-5541
(408) 559-3403
Mailing address
2542 S BASCOM AVE STE 100, CAMPBELL, CA 95008-5541
(408) 559-3403
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
95017017
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95017017
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
11/25/2019
Last updated
03/11/2024
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