Individual
ANNY KWAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
554 GRAND AVE, OAKLAND, CA 94610-3515
(415) 515-2920
Mailing address
554 GRAND AVE, OAKLAND, CA 94610-3515
(415) 515-2920
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
CA
Other
Enumeration date
05/20/2024
Last updated
10/09/2025
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