Individual
MRS. MARYANNA WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4141 E DICKENSON PL, DENVER, CO 80222-6012
(303) 504-6500
Mailing address
4141 E DICKENSON PL, DENVER, CO 80222-6012
(303) 504-6500
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
07/18/2012
Last updated
07/18/2012
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