Individual
KIMMYLOU LAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1100 VETERANS BLVD, REDWOOD CITY, CA 94063-2037
(650) 299-2305
Mailing address
15050 MILFORD ST, SAN LEANDRO, CA 94579-1513
Taxonomy
Speciality
Code
Description
License number
State
227900000X
Registered Respiratory Therapist
Primary
29954
CA
Other
Enumeration date
02/01/2019
Last updated
06/14/2019
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