Individual provider · Type 1 NPI
Jennifer Iringan Fong
Speech-Language Assistant · San Leandro, CA
NPI number
1104666155
Active
Practice location
14207 E 14th St
San Leandro, CA 94578-2709
Mailing address
14470 Corvallis St
San Leandro, CA 94579-1123
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Speech-Language Assistant Primary | 2355S0801X | 6780 (CA) |
Speech-Language Assistant: Definition to come...
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About NPI 1104666155
Jennifer Iringan Fong's National Provider Identifier is 1104666155, issued on May 28, 2024. The primary taxonomy on file is Speech-Language Assistant (2355S0801X), and the practice location is in San Leandro, CA. The record was last updated on May 28, 2024.