Individual
SUZANNA M FONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N., M.S.N.
Contact information
Practice address
3060 19TH AVE, SAN FRANCISCO, CA 94132-1627
(415) 722-6399
Mailing address
3060 19TH AVE, SAN FRANCISCO, CA 94132-1627
(415) 722-6399
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
466700
CA
Other
Enumeration date
10/04/2007
Last updated
10/04/2007
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