Individual
CLARICE WONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
101 GROVE ST RM 407, SAN FRANCISCO, CA 94102-4505
(415) 819-9886
Mailing address
101 GROVE ST RM 407, SAN FRANCISCO, CA 94102-4505
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
07/13/2022
Last updated
07/13/2022
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