Individual
CAROL WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
36320 INLAND VALLEY DR STE 301, WILDOMAR, CA 92595-7512
(951) 447-8826
Mailing address
30983 PUTTER CIR, TEMECULA, CA 92591-3922
(510) 364-9794
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
05/20/2020
Last updated
05/20/2020
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