Individual
MS. JULIE WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1489 WEBSTER ST. SUITE 210, SAN FRANCISCO, CA 94115
(415) 346-8373
Mailing address
1489 WEBSTER ST, SUITE 210, SAN FRANCISCO, CA 94115-3766
(415) 346-8373
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
PT10167
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ZZZ29485Z
BLUESHIELDPROVIDER #
CA
Enumeration date
06/15/2006
Last updated
03/17/2008
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