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Mary Tang Chiang, AGPCNP

Nurse Practitioner, Adult Health in San Jose, CA. Individual provider (NPI-1).

NPI number1275927204
StatusActive
Last updated in NPPESJun 1, 2019

Details

NPI
1275927204
Entity type
Individual (NPI-1)
Name
Mary Tang Chiang
Credential
AGPCNP
Sex
Female
Sole proprietor
Yes
Enumeration date
Mar 27, 2015
Last updated
Jun 1, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LA2200X Nurse Practitioner, Adult Health95006596CAYes

Practice location

299 Stockton Ave
San Jose, CA 95126

Phone 408-535-4600

Mailing address

299 Stockton Ave
San Jose, CA 95126

Phone 408-535-4600

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