Individual
GRACE WHANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
5000 PLEASANTON AVE, PLEASANTON, CA 94566-7052
(650) 353-1972
Mailing address
5333 LENORE AVE, LIVERMORE, CA 94550-2382
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
11/22/2017
Last updated
11/22/2017
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