Individual
DIANE ANGELA FONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5050 EL CAMINO REAL, STE 110, LOS ALTOS, CA 94065
(650) 964-6700
(650) 964-3495
Mailing address
16 PORTOFINO CIR, REDWOOD CITY, CA 94065-1341
(917) 613-6440
(650) 964-3495
Taxonomy
Speciality
Code
Description
License number
State
175F00000X
Naturopath
Primary
ND656
CA
Other
Enumeration date
05/14/2014
Last updated
05/14/2014
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