Individual
CLARISSE ANNE R. WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
200 MUIR RD, MARTINEZ, CA 94553-4614
(925) 372-1999
Mailing address
200 MUIR RD, MARTINEZ, CA 94553-4614
(925) 372-1999
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
27007
OK
207Q00000X
Family Medicine Physician
Primary
A120435
CA
Other
Enumeration date
05/26/2009
Last updated
01/10/2022
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