Individual
ELENA WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1019 ALAMEDA DE LAS PULGAS, BELMONT, CA 94002-3507
(650) 594-1019
Mailing address
1019 ALAMEDA DE LAS PULGAS, BELMONT, CA 94002-3507
(650) 594-1019
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
14534
CA
Other
Enumeration date
10/08/2012
Last updated
12/31/2019
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