Individual
INNA K WONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
6331 DE CRISANTO PL, ELK GROVE, CA 95758-4353
(916) 956-4545
(916) 684-8181
Mailing address
6331 DE CRISANTO PL, ELK GROVE, CA 95758-4353
(916) 956-4545
(916) 684-8181
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
781040
CA
Other
Enumeration date
08/16/2013
Last updated
08/16/2013
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