JIMMY ERIC FONG

DUARTE, CA
NPI1619540358
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: CA  95019107)
Enumeration Date2021-07-21
Last Update Date2022-06-07
Business Address
Mr. JIMMY ERIC FONG RN, FNP - C
1500 DUARTE RD
DUARTE, CA 91010-3012
Phone number: 626-256-4673
Mailing Address
Mr. JIMMY ERIC FONG RN, FNP - C
PO BOX 512185
LOS ANGELES, CA 90051-0185
Phone number: