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Individual

BRENDA WONG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
175 MADISON AVE FL 1, MOUNT HOLLY, NJ 08060-2099
(856) 430-9427
Mailing address
1126 E PALMER ST UNIT 2, PHILADELPHIA, PA 19125-4242
(646) 323-7963

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
26NR22515300
NJ
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
05/17/2024
Last updated
10/29/2024
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