Individual
AVA WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
115 MALL DR, HANFORD, CA 93230-5786
(559) 582-9000
Mailing address
14910 BURROWS WAY, EASTVALE, CA 92880-4503
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
05/10/2019
Last updated
12/03/2019
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