TELICA CHANG FONG

LILLINGTON, NC
NPI1285109728
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: FL  9247339)
Enumeration Date2018-10-11
Last Update Date2018-10-11
Business Address
TELICA CHANG FONG FNP-C
40 AUTUMN FERN TRL
LILLINGTON, NC 27546-5155
Phone number: 910-364-0971
Mailing Address
TELICA CHANG FONG FNP-C
170 TIDWORTH CT
RAEFORD, NC 28376-6662
Phone number: 813-841-6663