Individual
SHERLY WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
200 EDMONDS RD, REDWOOD CITY, CA 94062-3813
(650) 367-1890
Mailing address
200 EDMONDS RD, REDWOOD CITY, CA 94062-3813
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
95111559
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
95111559
CORDILLERAS MHRC
CA
Enumeration date
12/10/2021
Last updated
12/10/2021
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