Individual
GLADYS WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.T.
Contact information
Practice address
2171 JUNIPERO SERRA BLVD STE 590, DALY CITY, CA 94014-1990
(650) 992-5782
(650) 756-9005
Mailing address
2171 JUNIPERO SERRA BLVD STE 590, DALY CITY, CA 94014-1990
(650) 992-5782
(650) 756-9005
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
0844
CA
Other
Enumeration date
12/04/2009
Last updated
12/04/2009
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