Individual
MS. JENNY WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS ED
Contact information
Practice address
38 ACCACIA ST, DALY CITY, CA 94014-1503
(415) 517-4721
Mailing address
38 ACCACIA ST, DALY CITY, CA 94014-1503
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
1379600201
NY
Other
Enumeration date
01/23/2020
Last updated
01/24/2020
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