Individual
CONNIE FONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1505 VIA PALERMO, MONTEBELLO, CA 90640-1835
(626) 348-3895
Mailing address
1505 VIA PALERMO, MONTEBELLO, CA 90640-1835
(626) 348-3895
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
NP95031110
CA
Other
Enumeration date
10/08/2024
Last updated
10/08/2024
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