Individual
GRACE PANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
115 VALMY ST, MILPITAS, CA 95035-2709
(510) 396-4378
Mailing address
115 VALMY ST, MILPITAS, CA 95035-2709
(510) 396-4378
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
20432
CA
Other
Enumeration date
02/02/2021
Last updated
02/02/2021
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