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Individual
MRS. TINA FONG NING
Active
Individual
MRS. TINA FONG NING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA10673
TX
363A00000X
Physician Assistant
PA9108008
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
012955200
—
FL
05
—
360742601
—
TX
Enumeration date
08/05/2014
Last updated
02/06/2017
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