Organization
WOUND AWAY
Active
Other names
Wound Away Inc
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JESSICA CAROL-MACIAS WONG (PRESIDENT)
(714) 457-9905
Entity
Organization
Contact information
Practice address
15024 IMPERIAL HWY, LA MIRADA, CA 90638-1301
(714) 457-9905
Mailing address
15024 IMPERIAL HWY, LA MIRADA, CA 90638-1301
(714) 457-9905
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
06/27/2024
Last updated
06/27/2024
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