Individual
LAURA WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
524 SOUTHPARK BLVD, JENCARE NEIGHBORHOOD MEDICAL SOUTH PARK, LLC, COLONIAL HEIGHTS, VA 23834-3609
(804) 504-7980
(804) 504-7991
Mailing address
524 SOUTHPARK BLVD, JENCARE NEIGHBORHOOD MEDICAL SOUTH PARK, LLC, COLONIAL HEIGHTS, VA 23834-3609
(804) 504-7980
(804) 504-7991
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
0121000697
VA
Other
Enumeration date
02/18/2015
Last updated
02/18/2015
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