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Individual
ELIZABETH SHONGLEE WONG
Active
Individual
ELIZABETH SHONGLEE WONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
745456
CA
363LF0000X
Family Nurse Practitioner
23423
CA
364SA2200X
Adult Health Clinical Nurse Specialist
Primary
3363
CA
Other
Enumeration date
05/01/2015
Last updated
05/01/2015
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