STEPHANIE WONG
Physician Assistant
Active
Individual
NPI: 1649844655
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Radiologic Technologist - Radiography | 2471C3402X | No | 00102159 (CA) |
| Radiologic Technologist - Mammography | 2471M2300X | No | 00102159 (CA) |
| Physician Assistant | 363A00000X | Yes | - |
Frequently Asked Questions
NPI 1649844655 is the National Provider Identifier for STEPHANIE WONG, a Physician Assistant provider located in Modesto, CA. This NPI was enumerated on May 14, 2021.
STEPHANIE WONG practices at 4601 DALE RD, Modesto, CA 95356.
Quick Facts
- NPI
- 1649844655
- Type
- Individual
- Enumerated
- May 14, 2021
- Last Updated
- Jan 17, 2023
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