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Individual

GRACE TING KAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
210 BALDWIN AVE, SAN MATEO, CA 94401-3915
(650) 579-6581
Mailing address
2974 ARGUELLO DR, BURLINGAME, CA 94010-5802
(650) 652-9697

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
G87698
CA

Other

Enumeration date
01/11/2012
Last updated
01/11/2012
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