Wong, Stephanie Shu Fen

Wong, Stephanie Shu Fen is an sole proprietor health care provider with primary practice located at 4601 Dale Rd , Modesto CA 95356-9718. She recently has 3 registered licenses in different health care specialties including Technologists, Technicians & Other Technical Service Providers / Radiography, Technologists, Technicians & Other Technical Service Providers / Mammography, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Wong, Stephanie Shu Fen can be contacted via phone (209) 735-5000.

Contact Information

Primary practice address
4601 Dale Rd Modesto CA 95356-9718
Phone: (209) 735-5000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Radiography 2471C3402X 00102159 California
Technologists, Technicians & Other Technical Service Providers / Mammography 2471M2300X 00102159 California
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X California

Profile Details

NPI number 1649844655
LBN Legal business name Wong, Stephanie Shu Fen
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 14th, 2021
Last updated Jan 17th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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