SHANA STACY KONG

LOS ANGELES, CA
NPI1215796438
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2024-03-18
Last Update Date2024-03-18
Business Address
SHANA STACY KONG MD
1200 N STATE ST # GH3900
LOS ANGELES, CA 90089-1001
Phone number: 323-409-7210
Mailing Address
SHANA STACY KONG MD
1200 N STATE ST # GH3900
LOS ANGELES, CA 90089-1001
Phone number:
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