Individual
MAN CHUN TONY WU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
6955 FOOTHILL BLVD STE 200, OAKLAND, CA 94605-2426
(510) 567-5704
Mailing address
6955 FOOTHILL BLVD STE 200, OAKLAND, CA 94605-2426
(510) 567-5704
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
95223832
CA
163WP2201X
Ambulatory Care Registered Nurse
Primary
95223832
CA
163WX1100X
Ophthalmic Registered Nurse
95223832
CA
Other
Enumeration date
09/22/2021
Last updated
09/22/2021
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