Individual
MR. ANDREW-JUSTIN CHONG TIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
500 LENNON LN, WALNUT CREEK, CA 94598-2415
(925) 939-9610
Mailing address
500 LENNON LN, WALNUT CREEK, CA 94598-2415
(925) 939-9610
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
95011322
CA
363LF0000X
Family Nurse Practitioner
Primary
95011322
CA
Other
Enumeration date
03/02/2020
Last updated
09/28/2023
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