I Lam Wong, R.D.

NPI #1114475571 in San Bruno, California

Provider Information

NPI Number: 1114475571
Entity Type: Individual
Name: I Lam Wong, R.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dietitian, Registered
Credential: R.D.
Enumeration Date: Sep 14, 2016
Last Updated: Sep 14, 2016

Practice Location

Address: 2000 CRYSTAL SPRINGS RD
Address 2: APT 2123
City: San Bruno
State: California
ZIP Code: 94066-4638
Phone: (408) 705-3722

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dietitian, Registered	133V00000X	Primary

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