Individual
KAKLAM WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RNNP
Contact information
Practice address
751 S BASCOM AVE, SAN JOSE, CA 95128-2604
(408) 885-7658
(408) 885-7999
Mailing address
751 S BASCOM AVE, SAN JOSE, CA 95128-2604
(408) 885-7658
(408) 885-7999
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN576049
CA
Other
Enumeration date
07/12/2006
Last updated
02/22/2013
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