TIMOTHY FONG

PORTERVILLE, CA
NPI1477210565
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: CA  60415)
Enumeration Date2021-11-23
Last Update Date2021-11-23
Business Address
TIMOTHY FONG PA
1107 W POPLAR AVE
PORTERVILLE, CA 93257-5839
Phone number: 877-960-3426
Mailing Address
TIMOTHY FONG PA
1107 W POPLAR AVE
PORTERVILLE, CA 93257-5839
Phone number: 877-960-3426
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