Individual
MS. STACEY ANGELA WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., L.AC.
Contact information
Practice address
5300 MCCONNELL AVE, LOS ANGELES, CA 90066-7026
(310) 482-5668
(310) 571-3213
Mailing address
5300 MCCONNELL AVE, LOS ANGELES, CA 90066-7026
(310) 482-5668
(310) 571-3213
Taxonomy
Speciality
Code
Description
License number
State
170300000X
Genetic Counselor (M.S.)
Primary
99334
CA
171100000X
Acupuncturist
AC 12551
CA
Other
Enumeration date
12/11/2008
Last updated
12/11/2008
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