Individual
MARY TANG CHIANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AGPCNP
Contact information
Practice address
299 STOCKTON AVE, SAN JOSE, CA 95126
(408) 535-4600
Mailing address
299 STOCKTON AVE, SAN JOSE, CA 95126
(408) 535-4600
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
95006596
CA
Other
Enumeration date
03/27/2015
Last updated
06/01/2019
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