Individual
MS. HOLLY ANN WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD/LDN, CLC
Contact information
Practice address
3001 W DOCTOR M.L.K. JR BLVD, TAMPA, FL 33607
(813) 325-9597
Mailing address
1661 CENTRAL AVE UNIT 4029, ST PETERSBURG, FL 33713-9074
(813) 325-9597
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
ND10165
FL
Other
Enumeration date
02/24/2022
Last updated
02/24/2022
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