Individual
JOSEPHINE WONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12322 CLEARGLEN AVE, WHITTIER, CA 90604-3872
(562) 242-1078
(562) 947-4053
Mailing address
12322 CLEARGLEN AVE, WHITTIER, CA 90604-3872
(562) 242-1078
(562) 947-4053
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
04/04/2012
Last updated
04/04/2012
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