Individual
SUETFEI NG WON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2315 STOCKTON BLVD, HOUSESTAFF BUILDING, SACRAMENTO, CA 95817-2201
(916) 734-7211
(916) 734-0432
Mailing address
2315 STOCKTON BLVD, HOUSESTAFF BUILDING, SACRAMENTO, CA 95817-2201
(916) 734-7211
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
11502
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1962618496
NPI
CA
Enumeration date
05/14/2007
Last updated
01/07/2015
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