Individual
JADE KWAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
200 MEDICAL PLAZA SUITE 540, LOS ANGELES, CA 90095-0001
(310) 825-5721
Mailing address
9533 SAN MARCO CT, STOCKTON, CA 95212-3504
(209) 986-9046
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
3948
CA
Other
Enumeration date
09/10/2024
Last updated
09/10/2024
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