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Individual

SUZANNE CARI FONG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
9201 BIG HORN BLVD, ELK GROVE, CA 95758-1240
(916) 478-5314
Mailing address
9201 BIG HORN BLVD, ELK GROVE, CA 95758-1240
(916) 478-5314

Taxonomy

Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
391483
CA

Other

Enumeration date
09/15/2005
Last updated
01/11/2022
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