Individual provider · Type 1 NPI

Alice Wong, MT-BC

Specialist · Millbrae, CA

NPI number 1598031254 Active

Practice location

1550 Frontera Way, #312
Millbrae, CA 94030-2801

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X046444 (PA)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1598031254

Alice Wong, MT-BC's National Provider Identifier is 1598031254, issued on Mar 27, 2012. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Millbrae, CA. The record was last updated on Mar 27, 2012.