Individual
MR. CHAN LUN WONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.AC.
Contact information
Practice address
1639 21ST AVE, OAKLAND, CA 94606-4660
(510) 261-1388
Mailing address
1639 21ST AVE, OAKLAND, CA 94606-4660
(510) 261-1388
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC5021
CA
Other
Enumeration date
01/09/2007
Last updated
07/08/2007
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