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Individual

SABRINA WONG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
5151 REED RD, SUITE 225-C, COLUMBUS, OH 43220-2595
(614) 457-2306
(614) 884-0776
Mailing address
5151 REED RD, SUITE 225-C, COLUMBUS, OH 43220-2595
(614) 457-2306
(614) 884-0776

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
272983
AZ
367500000X
Certified Registered Nurse Anesthetist
Primary
COA16010NA
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0104992
OH
01
COA16010NA
CRNA LICENSE
OH
01
P01341270
RAILROAD MEDICARE
OH
01
RN341108
RN OHIO LICENSE
OH
Enumeration date
05/30/2014
Last updated
06/14/2022
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