BENJAMIN KONG

SAN CARLOS, CA
NPI1104242080
Former NameBENJAMIN JAMES FONG
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: CA  41074)
Enumeration Date2014-03-14
Last Update Date2020-02-18
Business Address
BENJAMIN KONG
301 INDUSTRIAL RD
SAN CARLOS, CA 94070-2603
Phone number: 650-632-0816
Mailing Address
BENJAMIN KONG
325 DISTEL CIR
LOS ALTOS, CA 94022-1408
Phone number:
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