KENNY PHAN

OAKLAND, CA
NPI1033931621
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2024-10-25
Last Update Date2024-10-25
Business Address
KENNY PHAN
450 30TH ST
OAKLAND, CA 94609-3302
Phone number: 510-869-9200
Mailing Address
KENNY PHAN
9259 PALMERSON DR
ANTELOPE, CA 95843-4613
Phone number:
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