Individual
KY LUONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3851 ROSECRANS ST, SAN DIEGO, CA 92110-3115
(619) 850-1428
Mailing address
7229 FULTON ST, SAN DIEGO, CA 92111-6117
(858) 874-2383
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
—
—
Other
Enumeration date
03/22/2007
Last updated
07/08/2007
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