Individual
LIANA NATASHA WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MB BCH BAO
Contact information
Practice address
4301 JONES BRIDGE RD BLDG A, BETHESDA, MD 20814-4712
(301) 295-3717
Mailing address
5750 BOU AVE UNIT 1703, ROCKVILLE, MD 20852-5627
(647) 768-0789
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
119148
ZZ
Other
Enumeration date
10/19/2023
Last updated
10/19/2023
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