Individual
MRS. BROOK MAE WONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3000 MACK RD, FAIRFIELD, OH 45014-5335
(513) 870-7000
Mailing address
3000 MACK RD, FAIRFIELD, OH 45014-5335
(513) 870-7000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50.003324RX
OH
Other
Enumeration date
10/04/2012
Last updated
04/15/2016
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