Individual
GINA P YAMSUAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2296 COUNTRY DR, FREMONT, CA 94536-5315
(510) 608-3733
(510) 797-7205
Mailing address
2296 COUNTRY DR, FREMONT, CA 94536-5315
(510) 608-3733
(510) 797-7205
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
0079820
CA
Other
Enumeration date
06/29/2010
Last updated
06/29/2010
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