Michelle Ann Wong, PA-C

NPI #1336525609 in Jackson, California

Provider Information

NPI Number: 1336525609
Entity Type: Individual
Name: Michelle Ann Wong, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Aug 10, 2015
Last Updated: Oct 23, 2023

Practice Location

Address: 200 MISSION BLVD
Address 2: 1ST FLOOR
City: Jackson
State: California
ZIP Code: 95642-2564
Phone: (209) 223-7555

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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