Individual
PAULETTE ANN WONG WY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1301 WOLFE ST, LITTLE ROCK, AR 72202-5320
(501) 364-1830
Mailing address
4426 KETCHAM ST APT 2A, ELMHURST, NY 11373-3649
(347) 421-4264
Taxonomy
Speciality
Code
Description
License number
State
2080P0006X
Developmental - Behavioral Pediatrics Physician
Primary
A115877
CA
Other
Enumeration date
06/08/2011
Last updated
06/08/2011
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