Individual
DING WONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5998 ALCALA PARK, SAN DIEGO, CA 92110-8001
(619) 260-7550
Mailing address
3128 44TH ST, SAN DIEGO, CA 92105-4318
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
01/16/2020
Last updated
01/16/2020
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