Individual
BRIDGET PAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
232 E GISH RD, SAN JOSE, CA 95112-4706
(408) 335-8657
Mailing address
232 E GISH RD, SAN JOSE, CA 95112-4706
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
17254
CA
Other
Enumeration date
07/24/2019
Last updated
09/09/2024
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