Brandon Wong, PA-C Valid NPI

Individual provider · Physician Assistant · Mendota, CA

NPI

1497377048

Type

Individual (Type 1)

Primary specialty

Physician Assistant

Specialty group

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy code

363A00000X

License number

58085 (CA)

Sex

Male

Sole proprietor

Yes

Enumerated

2020-05-16

Last updated

2020-10-16