Individual
MAKENZIE FONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
2279 45TH ST, SACRAMENTO, CA 95817-1514
(916) 734-5959
Mailing address
2279 45TH ST, SACRAMENTO, CA 95817-1514
Taxonomy
Speciality
Code
Description
License number
State
170300000X
Genetic Counselor (M.S.)
Primary
—
—
Other
Enumeration date
06/02/2022
Last updated
06/02/2022
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