Individual
MISS ANGELA MARIE FONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
505 PARNASSUS AVE RM M-294, SAN FRANCISCO, CA 94143-2204
(415) 353-1461
Mailing address
505 PARNASSUS AVE RM M-294, SAN FRANCISCO, CA 94143-2204
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1078858
CA
Other
Enumeration date
05/17/2017
Last updated
05/17/2017
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