JACK FANG

LOS ANGELES, CA
NPI1437842978
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2023-05-31
Last Update Date2023-05-31
Business Address
JACK FANG
714 TIVERTON AVE
LOS ANGELES, CA 90095-8361
Phone number: 131-020-6390
Mailing Address
JACK FANG
723 1/2 LEVERING AVE
LOS ANGELES, CA 90024-6609
Phone number:
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