Individual
DEBORAH F WONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
13975 MONO WAY STE G, SONORA, CA 95370-2824
(209) 533-9600
(209) 533-9608
Mailing address
PO BOX 939, ANGELS CAMP, CA 95222-0939
(209) 754-6262
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
G64641
CA
208D00000X
General Practice Physician
Primary
G64641
CA
Other
Enumeration date
04/04/2006
Last updated
08/27/2024
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