Individual
JODIE FONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2470 N DUPONT PKWY, MIDDLETOWN, DE 19709-9653
(302) 376-9743
Mailing address
2470 N DUPONT PKWY, MIDDLETOWN, DE 19709-9653
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
A1-0015558
DE
Other
Enumeration date
09/30/2020
Last updated
09/30/2020
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