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Individual
MELISSA SUSAN WONG
Active
Individual
MELISSA SUSAN WONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
35866
CA
152WV0400X
Vision Therapy Optometrist
35866
CA
Other
Enumeration date
11/20/2021
Last updated
02/01/2025
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