Individual
MISS NETTIE NG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.A.-C
Contact information
Practice address
455 OCONNOR DR, SUITE 290, SAN JOSE, CA 95128-1633
(408) 998-5400
(408) 998-5414
Mailing address
455 OCONNOR DR, SUITE 290, SAN JOSE, CA 95128-1633
(408) 998-5400
(408) 998-5414
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA19678
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA19678
CALIFORNIA LICENSE
CA
Enumeration date
05/19/2008
Last updated
04/22/2013
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