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Individual

MOYA SONIKA CHONG SANG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
525 N WOLFE ST, BALTIMORE, MD 21205-2110
(410) 955-4766
Mailing address
120 DEKRUIF PLACE, APARTMENT 16G, BRONX, NY 10475
(518) 951-5238

Taxonomy

Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
710641
NY
367500000X
Certified Registered Nurse Anesthetist
Primary
R254059
MD

Other

Enumeration date
07/01/2021
Last updated
09/12/2024
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