DERICK FONGU CHE

FORT SMITH, AR
NPI1932952710
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2024-04-10
Last Update Date2024-04-10
Business Address
DERICK FONGU CHE DO
612 S 12TH ST
FORT SMITH, AR 72901-4702
Phone number: 479-785-0732
Mailing Address
DERICK FONGU CHE DO
612 S 12TH ST
FORT SMITH, AR 72901-4702
Phone number: 479-785-0732
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