Individual
PRISCILLA WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
4626 WILLOW RD, PLEASANTON, CA 94588-8517
(925) 463-0470
Mailing address
4626 WILLOW RD STE 200, PLEASANTON, CA 94588-8564
(925) 463-0470
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
95372896
CA
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
95031338
CA
Other
Enumeration date
10/10/2024
Last updated
02/10/2025
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