Individual
PHILANZO KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7227 BROADWAY STE 302, LEMON GROVE, CA 91945-1505
(619) 767-8160
Mailing address
55 DAVIDSON ST, CHULA VISTA, CA 91910-3001
(619) 767-8160
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
Primary
—
—
Other
Enumeration date
11/11/2018
Last updated
11/11/2018
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