Individual
WESLEY HARRY WONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
114 S DELAWARE ST, SAN MATEO, CA 94401-3222
(650) 579-7881
(650) 579-2640
Mailing address
114 S DELAWARE ST, SAN MATEO, CA 94401-3222
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
MPSS-AOENRB
CA
Other
Enumeration date
08/15/2024
Last updated
08/16/2024
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