Diane Angela Fong

NPI #1023429859 in Los Altos, California

Provider Information

NPI Number: 1023429859
Entity Type: Individual
Name: Diane Angela Fong
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Naturopath
Enumeration Date: May 14, 2014
Last Updated: May 14, 2014

Practice Location

Address: 5050 EL CAMINO REAL
Address 2: STE 110
City: Los Altos
State: California
ZIP Code: 94065
Phone: (650) 964-6700

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Naturopath	175F00000X	Primary

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