MICAH FONG

SAN FRANCISCO, CA
NPI1184445215
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225X00000X Occupational Therapist
(Licence: CA  17266)
Enumeration Date2024-10-22
Last Update Date2024-10-22
Business Address
MICAH FONG
130 CLIFFORD TER
SAN FRANCISCO, CA 94117-4506
Phone number: 415-867-4292
Mailing Address
MICAH FONG
130 CLIFFORD TER
SAN FRANCISCO, CA 94117-4506
Phone number:
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