Individual
LINDA N FONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RNP
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
235996
CA
163WG0000X
General Practice Registered Nurse
Primary
1471
CA
Other
Enumeration date
04/19/2006
Last updated
03/05/2008
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