LAUREN NICOLE DATE-CHONG

ORINDA, CA
NPI1710518808
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LP0200X Nurse Practitioner, Pediatrics
(Licence: CA  95013441)
Enumeration Date2020-01-28
Last Update Date2020-01-28
Business Address
LAUREN NICOLE DATE-CHONG
174 RAVENHILL RD
ORINDA, CA 94563-2725
Phone number: 925-915-9918
Mailing Address
LAUREN NICOLE DATE-CHONG
174 RAVENHILL RD
ORINDA, CA 94563-2725
Phone number: 925-915-9918