ERWIN ORIO FONG

SAN DIEGO, CA
NPI1225509656
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy163WP0809X Registered Nurse Psychiatric/Mental Health, Adult
(Licence: CA  95141411)
Enumeration Date2018-12-11
Last Update Date2018-12-11
Business Address
ERWIN ORIO FONG
3853 ROSECRAN ST
SAN DIEGO, CA 92110-3115
Phone number: 619-692-8232
Mailing Address
ERWIN ORIO FONG
3853 ROSECRAN ST
SAN DIEGO, CA 92110-3115
Phone number: 619-692-8232
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