Individual
JOHN P JANGWONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
760 HARRISON ST, SAN FRANCISCO, CA 94107
(415) 836-1773
Mailing address
760 HARRISON ST, SAN FRANCISCO, CA 94107
(415) 836-1773
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
PT16083
CA
Other
Enumeration date
02/06/2007
Last updated
06/18/2009
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