Individual
JENNIEFER CHONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
210 W SAN BERNARDINO RD, COVINA, CA 91723-1515
(626) 938-7650
Mailing address
13500 LOS ANGELES ST, BALDWIN PARK, CA 91706-2250
(626) 216-6472
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
776381
CA
363L00000X
Nurse Practitioner
Primary
95018865
CA
Other
Enumeration date
07/29/2019
Last updated
12/30/2024
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