Individual
KAELA TONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
3850 RIVER TRACE DR, DIBERVILLE, MS 39540-5500
(707) 843-6016
Mailing address
3850 RIVER TRACE DR, DIBERVILLE, MS 39540-5500
(707) 843-6016
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
902679
MS
Other
Enumeration date
08/16/2018
Last updated
08/16/2018
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