HENRY LOREN FONG

PETALUMA, CA
NPI1306861158
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207PE0004X Emergency Medicine, Emergency Medical Services
(Licence: CA  G69103)
Enumeration Date2006-07-13
Last Update Date2011-04-14
Business Address
Dr. HENRY LOREN FONG M.D.
400 N MCDOWELL BLVD
PETALUMA, CA 94954-2339
Phone number: 707-778-1111
Mailing Address
Dr. HENRY LOREN FONG M.D.
400 N MCDOWELL BLVD
PETALUMA, CA 94954-2339
Phone number: 707-778-1111
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