MARCELLA FONG

STOCKTON, CA
NPI1518923937
Former NameMARCELLA LEONG
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: CA  1033)
Additional Taxonomies163W00000X Registered Nurse
(Licence: CA  244783)
Enumeration Date2006-04-25
Last Update Date2010-06-14
Business Address
-- MARCELLA FONG NP
2545 W HAMMER LN
STOCKTON, CA 95209-2839
Phone number: 209-957-7050
Mailing Address
-- MARCELLA FONG NP
600 COFFEE RD
MODESTO, CA 95355-4201
Phone number: 209-524-1211