Organization
JULIE WONG'S PROACTIVE CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHARLES L YOUNG (DIRECTOR)
(415) 346-8373
Entity
Organization
Contact information
Practice address
1489 WEBSTER ST, SUITE 210, SAN FRANCISCO, CA 94115-3766
(415) 346-8373
(411) 534-6080
Mailing address
1489 WEBSTER ST, SUITE 210, SAN FRANCISCO, CA 94115-3766
(415) 346-8373
(411) 534-6080
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
0PT101670
CA
Other
Enumeration date
05/16/2008
Last updated
05/16/2008
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