Individual
EVA WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1500 21ST ST, SACRAMENTO, CA 95811-5216
(916) 443-3299
Mailing address
1120 ALDER TREE WAY APT 317, SACRAMENTO, CA 95831-3961
(510) 284-9492
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
E5886
CA
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
04/08/2019
Last updated
01/15/2025
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