Individual
ANNIE LUU WONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DNP
Contact information
Practice address
6501 HARBISON AVE, PHILADELPHIA, PA 19149-2912
(215) 333-4300
Mailing address
640 KERPER ST, PHILADELPHIA, PA 19111-4702
(215) 667-5407
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
SP018720
PA
Other
Enumeration date
08/01/2019
Last updated
08/10/2020
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