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Individual

KRISCHEL TAN ONGBONGAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
N.P.

Contact information

Practice address
15400 LOS GATOS BLVD, LOS GATOS, CA 95032-2502
(408) 523-3640
Mailing address
325 DISTEL CIR, LOS ALTOS, CA 94022-1408

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
NP20634
CA

Other

Enumeration date
04/13/2011
Last updated
04/18/2023
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