Individual
DANIELLE FONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
14961 W BELL RD STE 175, SURPRISE, AZ 85374-3220
(623) 547-7205
Mailing address
14961 W BELL RD STE 175, SURPRISE, AZ 85374-3220
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
CNM07405
AZ
Other
Enumeration date
10/28/2021
Last updated
10/28/2021
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