Individual
BARBARA WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
1555 PARKMOOR AVE, SAN JOSE, CA 95128-2407
(707) 255-3300
Mailing address
PO BOX 127, NAPA, CA 94559-0127
(707) 255-3300
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
163WP0808X
Psychiatric/Mental Health Registered Nurse
585946
CA
Other
Enumeration date
12/28/2015
Last updated
12/28/2015
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