Individual
MRS. HOSUNG JANE NAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9728 DEBARNHART WAY # 800, ELK GROVE, CA 95757-6234
(650) 575-5084
Mailing address
8325 ELK GROVE FLORIN RD STE 800, SACRAMENTO, CA 95829-9524
(916) 226-6190
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
600695
CA
Other
Enumeration date
01/18/2019
Last updated
01/18/2019
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