Individual
CANG KIM DONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1238 MAYHEW DR, SAN JOSE, CA 95121-2243
(408) 332-8276
Mailing address
1238 MAYHEW DR, SAN JOSE, CA 95121-2243
(408) 332-8276
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
CA
Other
Enumeration date
10/06/2019
Last updated
10/06/2019
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