STACEY WONG

COSTA MESA, CA
NPI1801473731
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: CA  299897)
Enumeration Date2021-03-26
Last Update Date2021-11-10
Business Address
STACEY WONG DPT
1520 NUTMEG PL STE 111
COSTA MESA, CA 92626-2557
Phone number: 714-979-3500
Mailing Address
STACEY WONG DPT
17870 NEWHOPE ST STE 104-160
FOUNTAIN VALLEY, CA 92708-5439
Phone number: 714-429-0799
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