MIU KEN FONG

SAN LEANDRO, CA
NPI1437818028
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy167G00000X Licensed Psychiatric Technician
(Licence: CA  28430)
Enumeration Date2021-12-11
Last Update Date2021-12-11
Business Address
MIU KEN FONG
15200 FOOTHILL BLVD
SAN LEANDRO, CA 94578-1013
Phone number: 510-352-9690
Mailing Address
MIU KEN FONG
15200 FOOTHILL BLVD
SAN LEANDRO, CA 94578-1013
Phone number: 510-352-9690