Individual
MISS CHUIMAN KONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
535 ENOS ST, FREMONT, CA 94539-5206
(510) 668-0928
Mailing address
535 ENOS ST, FREMONT, CA 94539-5206
(510) 668-0928
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
6256
CA
Other
Enumeration date
08/16/2006
Last updated
07/08/2007
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