Individual
MS. GRACE HA EUN KANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, PHN
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
761532
CA
163WC1500X
Community Health Registered Nurse
76626
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PHN 76626
CA BRN
CA
01
—
RN 761532
CA BRN
CA
Enumeration date
06/17/2015
Last updated
06/17/2015
Update your record
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