Elyssa Wong
Elyssa Wong is a Student in an Organized Health Care Education/Training Program in Fremont, California. Practices as a sole proprietor. Registered with an NPI since 2023.
- In the registry since
- 2023
Practice location Address checks out
801 Longfellow DrFremont, CA 94539-6311
Phone: (510) 396-6614
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Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X |
|---|
Record details
| NPI number | 1487355731 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | March 14, 2023 |
| Last updated in NPPES | March 14, 2023 |
| Certification date | March 14, 2023 |
| Mailing address | 1975 Zonal Ave, Los Angeles, CA 90089-5601 |
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