Individual
KAREN FONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4000 DUBLIN BLVD STE 100, DUBLIN, CA 94568-3122
(925) 939-8585
Mailing address
PO BOX 31396, WALNUT CREEK, CA 94598-8396
(925) 939-8585
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
63950
CA
Other
Enumeration date
09/05/2022
Last updated
03/08/2024
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