| NPI | 1043423916 |
|---|---|
| Former Name | TERRY A FONG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 175F00000X Naturopath (Licence: CA ND1141) |
| Additional Taxonomies | 175F00000X Naturopath |
| 175F00000X Naturopath (Licence: AZ 11-1271) | |
| 175F00000X Naturopath (Licence: HI ND301) | |
| Enumeration Date | 2007-05-08 |
| Last Update Date | 2024-03-13 |