Individual
MRS. JENNIFER IRINGAN FONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14207 E 14TH ST, SAN LEANDRO, CA 94578-2709
(510) 220-9578
Mailing address
14470 CORVALLIS ST, SAN LEANDRO, CA 94579-1123
(510) 386-6124
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
6780
CA
Other
Enumeration date
05/28/2024
Last updated
05/28/2024
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