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Shannen Tong

NPI 1568782704 · on the registry since 2010

Practice

Address
11673 Cherry Ave
Fontana, CA 92337
Phone
(909) 357-2031
Fax
(909) 357-1620
Organisation at this address
Thrifty Payless Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
4

Registry record

Primary taxonomy
183500000X
183500000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2010-06-10

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California