Individual
JENNIFER WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, PHN, IBCLC
Contact information
Practice address
1100 BROADWAY ST UNIT 5604, REDWOOD CITY, CA 94063-6005
(408) 780-8356
Mailing address
1100 BROADWAY ST UNIT 5604, REDWOOD CITY, CA 94063-6005
(408) 780-8356
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
95245803
CA
174N00000X
Lactation Consultant (Non-RN)
Primary
L-320034
CA
Other
Enumeration date
01/21/2026
Last updated
01/21/2026
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