Individual
SHELLEY WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D., R.D.
Contact information
Practice address
1356 LUSITANA ST FL 4, HONOLULU, HI 96813-2409
(808) 586-2900
Mailing address
1356 LUSITANA ST FL 4, HONOLULU, HI 96813-2409
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
86002922
—
2084P0800X
Psychiatry Physician
Primary
MDR-8099
HI
Other
Enumeration date
11/29/2014
Last updated
07/25/2022
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