Individual
MR. KIN TAK SO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.V.T
Contact information
Practice address
1316 STEVENS AVE, UNIT B, SAN GABRIEL, CA 91776-4477
(626) 818-7226
Mailing address
1316 STEVENS AVE, UNIT B, SAN GABRIEL, CA 91776-4477
(626) 818-7226
Taxonomy
Speciality
Code
Description
License number
State
2471V0105X
Vascular Sonography Radiologic Technologist
Primary
109278
CA
Other
Enumeration date
08/24/2007
Last updated
08/24/2007
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