Most Relevant Information
Provider Data
| NPI Number: | 1003433699 |
| Provider Name: | LAURENA NELLY DONGMO FOTSING |
| Entity Type: | Individual |
| Taxonomy Code: | 207QA0505X |
| Specialty: | Family Medicine |
| License Number: | A183988 |
Most Important Dates
| Enumeration Date: | 06/29/2020 |
| Last Updated: | 11/08/2023 |
Provider Practice Location
365 TUOLUMNE ST
VALLEJO
CA
945905700
Practice Location Phone/Fax
| Phone: | 7075535509 |
| Fax: |
Provider Mailing Location
1310 CLUB DR
VALLEJO
CA
945921187
Provider Mailing Phone/Fax
| Phone: | 7076385285 |
| Fax: | 7076385924 |