Individual
JOAN FONJI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13555 BRETON RIDGE ST APT 2137, HOUSTON, TX 77070-5836
(347) 656-5069
Mailing address
1155 DAIRY ASHFORD RD, HOUSTON, TX 77079-3021
(713) 799-2200
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
L2-0023859
DE
Other
Enumeration date
09/23/2020
Last updated
09/23/2020
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