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1942978820
THASANEE FONG
ANAHEIM, CA
NPI
1942978820
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: CA 95018277)
Enumeration Date
2021-09-03
Last Update Date
2021-12-23
Business Address
Ms. THASANEE FONG
2531 W WOODLAND DR
ANAHEIM, CA 92801-2637
Phone number: 714-226-9888
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Mailing Address
Ms. THASANEE FONG
2531 W WOODLAND DR
ANAHEIM, CA 92801-2637
Phone number: 714-226-9888
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