Individual
SUNG-KEUN KENNETH TAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
17015 WALNUT GROVE DR, SUITE 103, MORGAN HILL, CA 95037-4436
(408) 370-6360
Mailing address
17015 WALNUT GROVE DR, SUITE 103, MORGAN HILL, CA 95037-4436
(408) 370-6360
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
434700084
CA
Other
Enumeration date
09/09/2016
Last updated
09/09/2016
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