Individual
MYRON UBUNGEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSN RN
Contact information
Practice address
415 E TAYLOR ST # 5, SAN JOSE, CA 95112-3127
(669) 250-1515
Mailing address
1559 DELUCA DR, SAN JOSE, CA 95131-3026
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
95060893
CA
Other
Enumeration date
09/30/2024
Last updated
09/30/2024
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