Individual
TAK WAI KWONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
42 S 500 E, SALT LAKE CITY, UT 84102-1002
(801) 428-3484
Mailing address
3681 S 1950 W APT 34, SALT LAKE CITY, UT 84119-3888
(801) 860-2624
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
6829095-3102
UT
Other
Enumeration date
06/21/2010
Last updated
06/21/2010
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