Individual
CRISTINE WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
25646 JAVIER PL, MORENO VALLEY, CA 92557-6615
(626) 512-2206
Mailing address
25646 JAVIER PL, MORENO VALLEY, CA 92557-6615
(626) 512-2206
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
95120046
CA
363L00000X
Nurse Practitioner
Primary
95017100
CA
Other
Enumeration date
04/07/2021
Last updated
04/07/2021
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