BRIAN EDWARD WONG PARK

SACRAMENTO, CA
NPI1164822714
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy152W00000X Optometrist
(Licence: CA  15075)
Enumeration Date2014-09-02
Last Update Date2014-09-02
Business Address
-- BRIAN EDWARD WONG PARK O.D.
1695 ARDEN WAY
SACRAMENTO, CA 95815-4004
Phone number: 916-564-5983
Mailing Address
-- BRIAN EDWARD WONG PARK O.D.
7116 SHERICE CT
SACRAMENTO, CA 95831-3041
Phone number: 916-607-2833
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