Individual
DEBBIE WONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPM
Contact information
Practice address
229 DOUGLAS AVE, CHARLOTTESVILLE, VA 22902-5748
(434) 987-1257
Mailing address
1205 RUGBY RD, CHARLOTTESVILLE, VA 22903-1236
(434) 987-1257
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
0129000063
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1215230842
—
VA
Enumeration date
12/21/2010
Last updated
11/20/2015
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