Individual
OLFRED HON MAN KWAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1566 136TH AVE, SAN LEANDRO, CA 94578-1641
(510) 813-6650
Mailing address
1566 136TH AVE, SAN LEANDRO, CA 94578-1641
(510) 813-6650
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
CA
Other
Enumeration date
03/30/2018
Last updated
03/30/2018
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