Individual
BO YUN JAZMIN QUINTANILLA GONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2001 THE ALAMEDA, SAN JOSE, CA 95126-1136
(408) 261-7777
(408) 259-2273
Mailing address
5805 CHARLOTTE DR APT 293, SAN JOSE, CA 95123-3654
(669) 800-7095
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
119394
CA
Other
Enumeration date
03/24/2020
Last updated
02/26/2024
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