Individual
WINNIFRED WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
101 BODIN CIR, TRAVIS AFB, CA 94535
(707) 423-7691
Mailing address
101 BODIN CIR, TRAVIS AFB, CA 94535-1809
(707) 423-7691
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
OP60363886
WA
Other
Enumeration date
09/23/2009
Last updated
08/01/2019
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