Individual
BERNADETTE FONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1380 BUSCA DR, TRACY, CA 95376-7755
(925) 325-2261
Mailing address
1380 BUSCA DR, TRACY, CA 95376-7755
(925) 325-2261
Taxonomy
Speciality
Code
Description
License number
State
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
Other
Enumeration date
09/13/2023
Last updated
06/29/2025
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