Individual
GIGI FONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
995 POTRERO AVE # WARD95, SAN FRANCISCO, CA 94110-2859
(415) 206-8442
Mailing address
995 POTRERO AVE # WARD95, SAN FRANCISCO, CA 94110-2859
(415) 206-8442
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
—
—
174400000X
Specialist
Primary
—
—
Other
Enumeration date
01/31/2019
Last updated
01/31/2019
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