Individual
AUBREY FONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2500 E FOOTHILL BLVD, PASADENA, CA 91107-3464
(626) 564-1613
Mailing address
2500 E FOOTHILL BLVD, PASADENA, CA 91107-3464
(626) 564-1613
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
09/03/2010
Last updated
09/03/2010
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