Individual
KIMBERLY WEN FUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
141 W FOOTHILL BLVD, UPLAND, CA 91786-8705
(909) 296-8800
Mailing address
12900 PARK PLAZA DR STE 150, CERRITOS, CA 90703-9329
(562) 977-4639
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
95012560
CA
Other
Enumeration date
10/04/2019
Last updated
10/21/2019
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