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Individual

SOKUNTHEA CHEA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
298 BERNAL RD, SAN JOSE, CA 95119-1809
(408) 404-8673
(408) 956-6306
Mailing address
298 BERNAL RD, SAN JOSE, CA 95119-1809
(408) 404-8673
(408) 956-6306

Taxonomy

Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary

Other

Enumeration date
08/20/2019
Last updated
08/20/2019
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