Stephanie Shu Fen Wong
NPI #1649844655 in Modesto, California
Provider Information
- NPI Number
- 1649844655
- Entity Type
- Individual
- Name
- Stephanie Shu Fen Wong
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physician Assistant
- Enumeration Date
- May 14, 2021
- Last Updated
- Jan 17, 2023
Practice Location
- Address
- 4601 DALE RD
- City
- Modesto
- State
- California
- ZIP Code
- 95356-9718
- Phone
- (209) 735-5000
Specialties & Taxonomy Codes
| Specialty |
|---|
| Radiologic Technologist - Radiography — Radiography |
| Radiologic Technologist - Mammography — Mammography |
| Physician Assistant |
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