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Individual

MR. EDMOND GEORGE KONRAD II

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
151 CALDERON AVE APT 402, MOUNTAIN VIEW, CA 94041-1460
(813) 516-7997
Mailing address
151 CALDERON AVE APT 402, MOUNTAIN VIEW, CA 94041-1460
(813) 516-7997

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA 3122
CA

Other

Enumeration date
08/07/2015
Last updated
08/07/2015
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