Individual
DR. AMY KONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
975 SERENO DRIVE, MOB, MEDICINE 2, VALLEJO, CA 94589
(707) 651-4981
Mailing address
1011 FOSTER ST, ALAMEDA, CA 94502-7902
(510) 393-6347
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
55771
CA
Other
Enumeration date
10/12/2006
Last updated
07/08/2007
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