Individual
BRANDON WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
8012 FEATHERS NEST WAY, SACRAMENTO, CA 95829-9606
(510) 330-7056
Mailing address
8012 FEATHERS NEST WAY, SACRAMENTO, CA 95829-9606
(510) 330-7056
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
95159488
CA
Other
Enumeration date
10/07/2019
Last updated
10/07/2019
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