Miu Ken Fong
Miu Ken Fong is a Licensed Psychiatric Technician in San Leandro, California. Practices as a sole proprietor. Licensed in California.
- Licensed in
- CA
- In the registry since
- 2021
Practice location Address checks out
15200 Foothill BlvdSan Leandro, CA 94578-1013
Phone: (510) 352-9690
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Specialties & licences
| Licensed Psychiatric Technician (primary) | Taxonomy 167G00000X · Licence 28430 (CA) |
|---|
Record details
| NPI number | 1437818028 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | December 11, 2021 |
| Last updated in NPPES | December 11, 2021 |
| Certification date | December 11, 2021 |
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