MARISA FONG

SACRAMENTO, CA
NPI1750071189
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: CA  302703)
Enumeration Date2023-05-09
Last Update Date2023-05-09
Business Address
MARISA FONG
2315 STOCKTON BLVD NORTH ADDITION OFFICE BUILDING ROOM 4212
SACRAMENTO, CA 95817
Phone number: 916-734-7040
Mailing Address
MARISA FONG
6 STARGLOW CIR
SACRAMENTO, CA 95831-2733
Phone number: