Individual
MS. MONICA WING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3020 CHILDREN'S WAY, SAN DIEGO, CA 92123
(858) 576-1700
Mailing address
3020 CHILDREN'S WAY, SAN DIEGO, CA 92123
(858) 576-1700
Taxonomy
Speciality
Code
Description
License number
State
133VN1004X
Pediatric Nutrition Registered Dietitian
Primary
86000843
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
133VN1004X
CCS
CA
Enumeration date
05/04/2016
Last updated
05/04/2016
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