Individual
BAONGAN DANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2701 N. TEXAS, FAIRFIELD, CA 94533
(707) 428-4795
Mailing address
5350 MONTEREY HWY APT 4, SAN JOSE, CA 95111
(614) 284-7279
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
64791
CA
Other
Enumeration date
10/21/2015
Last updated
10/21/2015
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