KENN NICHOLAS UNGAB TALAID

SAN JOSE, CA
NPI1568290641
Entity TypeIndividual
GenderN/A
Sole Proprietor ?No
Primary Taxonomy167G00000X Licensed Psychiatric Technician
(Licence: CA  41801)
Enumeration Date2024-07-22
Last Update Date2024-07-26
Business Address
KENN NICHOLAS UNGAB TALAID
650 S BASCOM AVE
SAN JOSE, CA 95128-2601
Phone number: 408-261-7777
Mailing Address
KENN NICHOLAS UNGAB TALAID
1922 THE ALAMEDA
SAN JOSE, CA 95126-1457
Phone number: 209-594-7259