Individual
STACY NICOLE WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
505 PARNASSUS AVE, RM M779, SAN FRANCISCO, CA 94143-0112
(415) 353-3650
(415) 353-3907
Mailing address
505 PARNASSUS AVE, RM M779, SAN FRANCISCO, CA 94143-0112
(415) 353-3650
(415) 353-3907
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
20998
CA
Other
Enumeration date
12/13/2011
Last updated
12/13/2011
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