Individual
GLORIA WONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1321 PAYNE AVE, SAINT PAUL, MN 55130-3433
(651) 771-2420
(651) 771-2421
Mailing address
1321 PAYNE AVE, SAINT PAUL, MN 55130-3433
(651) 771-2420
(651) 771-2421
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
MN
Other
Enumeration date
07/07/2015
Last updated
07/07/2015
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