Individual
MS. BETTY Y. FONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
6600 BRUCEVILLE RD, SACRAMENTO, CA 95823-4671
(916) 688-6919
Mailing address
6600 BRUCEVILLE RD, SACRAMENTO, CA 95823-4671
(916) 688-6919
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
9368
CA
363LF0000X
Family Nurse Practitioner
9368
CA
Other
Enumeration date
10/23/2006
Last updated
07/10/2007
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