Individual
CHINAENYEZE KUBA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
14820 MCVAY AVE, SAN JOSE, CA 95127-2540
(408) 258-7343
Mailing address
2050 SOUTHWEST EXPY APT 65, SAN JOSE, CA 95126-4641
(408) 561-2214
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
04/15/2016
Last updated
04/15/2016
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