JASON FRANK WONG

SACRAMENTO, CA
NPI1245705805
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy224P00000X Prosthetist
(Licence:   C50840)
Additional Taxonomies222Z00000X Orthotist
(Licence:   C50840)
Enumeration Date2018-10-10
Last Update Date2018-10-10
Business Address
JASON FRANK WONG BOCO BOCP
8143 GANDY DANCER WAY
SACRAMENTO, CA 95823-5928
Phone number: 916-752-8905
Mailing Address
JASON FRANK WONG BOCO BOCP
8143 GANDY DANCER WAY
SACRAMENTO, CA 95823-5928
Phone number: 916-752-8905
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