Individual
VANESSA S WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
95 390 KUAHELANI AVE, MILILANI, HI 96789
(808) 627-3200
(808) 623-8782
Mailing address
95 390 KUAHELANI AVE, MILILANI, HI 96789
(808) 627-3200
(808) 623-8782
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD11843
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
235812
HMSA
HI
05
—
53035401
—
HI
Enumeration date
01/27/2006
Last updated
07/08/2007
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