Individual
ALYSSA WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
373 S REDWOOD AVE, SAN JOSE, CA 95128-5109
(408) 261-3739
Mailing address
373 S REDWOOD AVE, SAN JOSE, CA 95128-5109
(408) 261-3739
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F11230621
CA
Other
Enumeration date
03/28/2024
Last updated
03/28/2024
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