Individual
AUDREY FONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
725 WELCH RD, PALO ALTO, CA 94304-1601
(650) 497-8000
(650) 498-5840
Mailing address
1804 EMBARCADERO RD, SUITE, PALO ALTO, CA 94303-3341
(650) 723-4000
(650) 498-5840
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
22572
CA
Other
Enumeration date
02/05/2015
Last updated
08/17/2016
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