KEMOY FONG

OAK CREEK, WI
NPI1457096828
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LA2100X Nurse Practitioner, Acute Care
(Licence: WI  11742-33)
Enumeration Date2022-04-30
Last Update Date2022-04-30
Business Address
KEMOY FONG
2620 W LAKEWOOD LN APT 3B
OAK CREEK, WI 53154-8230
Phone number: 407-616-3976
Mailing Address
KEMOY FONG
2620 W LAKEWOOD LN APT 3B
OAK CREEK, WI 53154-8230
Phone number: 407-616-3976
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