Individual
DR. CHEYENNE NICOLE WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
30 E APPLE ST STE 6258, DAYTON, OH 45409-2939
(937) 208-8000
Mailing address
30 E APPLE ST STE 6258, DAYTON, OH 45409-2939
(937) 208-8000
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
58.034258
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
58.034258
TRAINING CERTIFICATE (DO)
OH
Enumeration date
04/17/2024
Last updated
05/08/2024
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