EBONIE FONG

LOS ANGELES, CA
NPI1023744430
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy164X00000X Licensed Vocational Nurse
(Licence: CA  723327)
Enumeration Date2022-07-27
Last Update Date2022-07-27
Business Address
EBONIE FONG
3125 N BROADWAY
LOS ANGELES, CA 90031-2703
Phone number: 213-482-6400
Mailing Address
EBONIE FONG
3125 N BROADWAY
LOS ANGELES, CA 90031-2703
Phone number: 213-482-6400
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