Individual
MAKAI KIDD KANG-HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1340 TULLY RD, SAN JOSE, CA 95122-3055
(408) 271-3900
Mailing address
1340 TULLY RD, SAN JOSE, CA 95122-3055
(408) 271-3900
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
05/07/2025
Last updated
05/07/2025
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