License Directory

Nepenthe Irwin Fong

Active

California license A76264

License

Licensed by
Medical Board of California
License number
A76264
Status
Active (Current)
First issued
August 17, 2001
Expires
June 30, 2027
License holder
Nepenthe Irwin Fong
Entity type
Individual

Classifications

More from the license record

License type code
8002

Contact

Unit 192749
2825 Oak Lawn Ave
Dallas, TX 75219-4688
Dallas County