Individual
MS. AMBER M WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, PHN
Contact information
Practice address
2125 KNOLL DR, VENTURA, CA 93003-7329
(805) 578-1112
(805) 578-1114
Mailing address
2125 KNOLL DR, VENTURA, CA 93003-7329
(805) 578-1112
(805) 578-1114
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
252788
CA
Other
Enumeration date
10/25/2007
Last updated
10/25/2007
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