Individual
ELLEN WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
12180 PARK AVE S, TACOMA, WA 98447-0001
(206) 321-1590
Mailing address
4902 62ND AVENUE CT W, UNIVERSITY PLACE, WA 98467-4164
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN00129388
WA
Other
Enumeration date
08/04/2025
Last updated
08/04/2025
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