BAYARD JOSHUA FONG

OAKLAND, CA
NPI1316425697
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2018-07-30
Last Update Date2018-07-30
Business Address
BAYARD JOSHUA FONG
1266 14TH ST
OAKLAND, CA 94607-2205
Phone number: 510-273-4700
Mailing Address
BAYARD JOSHUA FONG
1266 14TH ST
OAKLAND, CA 94607-2205
Phone number: 510-273-4700
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