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Organization

A & A ENTERPRISE GROUP LLC

Active
Parent organization
A & A ENTERPRISE GROUP LLC
Organization subpart
Yes

Provider details

NPI number
Legal business name
A & A ENTERPRISE GROUP LLC
Authorized official
MR. PHILLIP NEAL JONG (MANAGER)
(408) 476-4198
Entity
Organization

Contact information

Practice address
4073 LAKESIDE DR, SAN JOSE, CA 95148-3837
(408) 476-4198
Mailing address
4073 LAKESIDE DR, SAN JOSE, CA 95148-3837
(408) 476-4198

Taxonomy

Speciality
Code
Description
License number
State
170300000X
Genetic Counselor (M.S.)
Primary
OC31973
CA

Other

Enumeration date
10/30/2016
Last updated
10/30/2016
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