Individual
JARED FONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7777 E FREEDOM RD, FRENCH CAMP, CA 95231-9694
(209) 946-3400
Mailing address
7777 E FREEDOM RD, FRENCH CAMP, CA 95231-9694
(209) 946-3400
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
A179900
CA
Other
Enumeration date
05/10/2018
Last updated
07/11/2024
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