REGINA FUNG GUEN WONG

LODI, CA
NPI1992919823
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy208000000X Pediatrics
(Licence: CA  A98176)
Enumeration Date2007-05-10
Last Update Date2010-11-30
Business Address
-- REGINA FUNG GUEN WONG M.D.
2415 W VINE ST SUITE 105
LODI, CA 95242-3731
Phone number: 209-333-3135
Mailing Address
-- REGINA FUNG GUEN WONG M.D.
PO BOX 241011
LODI, CA 95241-9511
Phone number: 209-333-3121
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