Individual
NANCY L WONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
970 PALO ALTO AVE, PALO ALTO, CA 94301
(650) 322-8800
Mailing address
PO BOX 771, PALO ALTO, CA 94302
(650) 326-9996
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
C59680
CA
Other
Enumeration date
12/26/2017
Last updated
12/26/2017
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