Individual
BEVERLY CHIONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9961 SIERRA AVE, FONTANA, CA 92335-6720
(626) 389-7498
Mailing address
7744 CHAMBRAY PL UNIT 3, RANCHO CUCAMONGA, CA 91739-8525
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
95003710
CA
Other
Enumeration date
02/15/2016
Last updated
02/15/2016
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