Individual
ANNA MARIE WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1316 OLD 63 S STE 102, COLUMBIA, MO 65201-6092
(573) 875-8838
Mailing address
1316 OLD 63 S STE 102, COLUMBIA, MO 65201-6092
(573) 875-8838
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
2024035034
MO
Other
Enumeration date
07/05/2024
Last updated
08/29/2024
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