Individual
CHRISTIAN VENGCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
809 N DELAWARE ST APT 2, SAN MATEO, CA 94401-1584
(650) 291-7394
Mailing address
809 N DELAWARE ST APT 2, SAN MATEO, CA 94401-1584
(650) 291-7394
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
708131
CA
Other
Enumeration date
08/12/2013
Last updated
08/12/2013
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