Individual
KATHRYN MEI LIN WONG-GARY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
17384 MOMONA RD, KURTISTOWN, HI 96760-1746
(808) 966-6076
(808) 966-6076
Mailing address
PO BOX 1746, KEAAU, HI 96749-1746
(808) 966-6076
(808) 966-6076
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
MAT 3085
HI
Other
Enumeration date
03/20/2007
Last updated
07/08/2007
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