Individual
CHRISELLE FONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
250 FLORIN RD, SACRAMENTO, CA 95831-1405
(916) 399-0650
(916) 399-0656
Mailing address
250 FLORIN RD, SACRAMENTO, CA 95831-1405
(916) 399-0650
(916) 399-0656
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
60745
CA
Other
Enumeration date
09/28/2011
Last updated
09/28/2011
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