BRENDAN WONG

LOS BANOS, CA
NPI1619767621
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
Additional Taxonomies363A00000X Physician Assistant
(Licence: CA  PA66652)
Enumeration Date2025-05-12
Last Update Date2025-08-15
Business Address
BRENDAN WONG
520 W I ST
LOS BANOS, CA 93635-3419
Phone number: 209-826-0591
Mailing Address
BRENDAN WONG
3834 SILVANA LN
STOCKTON, CA 95212-3118
Phone number: 209-518-5813
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