Individual
MARTIN ANDRES RODRIGUEZ WONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
34 RONALDO CT, RUTLAND, VT 05701-4239
(510) 599-5295
Mailing address
34 RONALDO CT, RUTLAND, VT 05701-4239
(510) 599-5295
Taxonomy
Speciality
Code
Description
License number
State
246RM2200X
Medical Laboratory Technician
Primary
226742
—
Other
Enumeration date
10/17/2025
Last updated
10/17/2025
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