Individual
ELDA KONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
4150 CLEMENT ST, SAN FRANCISCO, CA 94121-1545
(415) 221-4810
Mailing address
4150 CLEMENT ST, SAN FRANCISCO, CA 94121-1545
(415) 221-4810
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
95001035
CA
Other
Enumeration date
09/03/2014
Last updated
02/01/2016
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