Jessie J Fong

NPI #1619011186 in Earle, Arkansas

Provider Information

NPI Number: 1619011186
Entity Type: Individual
Name: Jessie J Fong
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Enumeration Date: Feb 17, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 621 COMMERCE ST
City: Earle
State: Arkansas
ZIP Code: 72331-1616
Phone: (870) 792-8763

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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