Individual
ERIKA WONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RD
Contact information
Practice address
50 STANIFORD ST FL 4, BOSTON, MA 02114-2517
(617) 724-6126
(617) 724-6565
Mailing address
3374 CROSSLAND ST, THOUSAND OAKS, CA 91362-4941
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
965789
CA
Other
Enumeration date
12/04/2007
Last updated
02/21/2013
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