Michelle Wong, O.D.
Optometrist in Fremont, CA. Individual provider (NPI-1).
NPI number1508202201
StatusActive
Last updated in NPPESMay 21, 2013
Details
- NPI
- 1508202201
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Michelle Wong
- Credential
- O.D.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 21, 2013
- Last updated
- May 21, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | 8903 | CA | Yes |
Practice location
38707 Stivers StSuite B
Fremont, CA 94536-5337
Phone 510-794-0660 · Fax 510-793-5044
Mailing address
38707 Stivers StSuite B
Fremont, CA 94536-5337
Phone 510-794-0660 · Fax 510-793-5044
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