Individual
GINA CHUA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3615 MAIN ST, FREMONT, CA 94538-4391
(510) 270-1201
(510) 249-9387
Mailing address
4852 REGENTS PARK LN, FREMONT, CA 94538-3950
(510) 270-1201
(510) 249-9387
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
03/19/2012
Last updated
03/19/2012
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