Organization · NPI-2

A & A Enterprise Group LLC

Genetic Counselor, MS · San Jose, CA

NPI number1871045476
StatusActive
Last updated in NPPESOct 30, 2016

Details

NPI
1871045476
Entity type
Organization (NPI-2)
Legal business name
A & A Enterprise Group LLC
Organization subpart
Yes
Enumeration date
Oct 30, 2016
Last updated
Oct 30, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
170300000X Genetic Counselor, MSoC31973CAYes

Practice location

4073 Lakeside Dr
San Jose, CA 95148-3837

Phone 408-476-4198

Mailing address

4073 Lakeside Dr
San Jose, CA 95148-3837

Phone 408-476-4198

Authorized official

Phillip Neal Jong
Manager
4084764198

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