DIANNE FONG CHAN

HAYWARD, CA
NPI1992099337
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: CA  AT6777)
Enumeration Date2011-06-02
Last Update Date2011-06-02
Business Address
Miss DIANNE FONG CHAN PTA
2481 CREEKSIDE CT
HAYWARD, CA 94542-2359
Phone number: 510-326-6696
Mailing Address
Miss DIANNE FONG CHAN PTA
706 CROCUS DR
SAN LEANDRO, CA 94578-3811
Phone number: 510-326-6696
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