Individual
JANELLE FONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5088 N. FRESNO ST, SUITE A, FRESNO, CA 93710
(559) 244-6360
Mailing address
5088 N. FRESNO ST, SUITE A, FRESNO, CA 93710
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
A117515
CA
Other
Enumeration date
10/28/2010
Last updated
09/04/2012
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