STACEY MI WONG

LOS ANGELES, CA
NPI1295270783
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: CA  54094)
Enumeration Date2016-12-20
Last Update Date2016-12-20
Business Address
-- STACEY MI WONG
400 W 30TH ST
LOS ANGELES, CA 90007-3320
Phone number: 213-284-3200
Mailing Address
-- STACEY MI WONG
400 W 30TH ST
LOS ANGELES, CA 90007-3320
Phone number: 213-284-3200
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