NPI | 1942317284 |
---|---|
Doing Business As | FONTANA FAMILY FOOT CARE CENTER |
Entity Type | Organization |
Authorized Contact | VOUCH KIM LUN Owner/ President 909-350-3032 |
Organization Subpart ? | No |
Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: CA E4444) |
Enumeration Date | 2006-08-24 |
Last Update Date | 2009-09-29 |