Individual
LINDA NGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5038 SAN PABLO DAM RD, EL SOBRANTE, CA 94803-3327
(510) 322-1707
Mailing address
1116 STALLION RD, EL SOBRANTE, CA 94803-1038
(510) 322-1707
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
21-196765
CA
Other
Enumeration date
08/15/2023
Last updated
08/15/2023
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