Individual
TIMOTHY KWONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
3721 HERMAN AVE, SAN DIEGO, CA 92104-3712
(626) 340-3402
Mailing address
3721 HERMAN AVE, SAN DIEGO, CA 92104-3712
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
05/23/2017
Last updated
05/23/2017
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