Individual
DEIRDRE O'SULLIVAN WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3102 E HIGHLAND AVE, PATTON, CA 92369-7813
(000) 000-0000
Mailing address
PO BOX 6496, ALTADENA, CA 91003-6496
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
A160784
CA
Other
Enumeration date
03/25/2017
Last updated
04/22/2023
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