Individual
LAURENA NELLY DONGMO FOTSING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
365 TUOLUMNE ST, VALLEJO, CA 94590-5700
(707) 553-5509
Mailing address
1310 CLUB DR, VALLEJO, CA 94592-1187
(707) 638-5285
(707) 638-5924
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
A183988
CA
Other
Enumeration date
06/29/2020
Last updated
11/08/2023
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