Individual
WING YIN 'WINNIE' TONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2825 SIENA HEIGHTS DR STE 101, HENDERSON, NV 89052-3976
(702) 616-7049
(702) 492-1467
Mailing address
6355 S BUFFALO DR FL 3, LAS VEGAS, NV 89113-2133
(702) 216-3346
(702) 671-6883
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA1378
NV
363AM0700X
Medical Physician Assistant
PA1378
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1154672863
—
NV
01
—
PA1378
STATE LICENSE
NV
Enumeration date
09/21/2012
Last updated
10/21/2022
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