Individual
KENJII DAALMONETTE HOPGOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3539 COLLEGE AVE, SAN DIEGO, CA 92115-7032
(619) 818-3788
(619) 795-6906
Mailing address
1031 25TH ST, SAN DIEGO, CA 92102-2194
(619) 232-6454
(619) 235-9007
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
23-727074
UNION OF PAN ASIAN COMMUNITIES
—
Enumeration date
04/27/2018
Last updated
04/27/2018
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