Individual
ALEXANDER D WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DNP, CRNA
Contact information
Practice address
1101 MEDICAL CENTER BLVD, MARRERO, LA 70072-3147
(504) 347-5511
Mailing address
1634 CORA DR, BATON ROUGE, LA 70815-4319
(225) 773-0235
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
206650
LA
Other
Enumeration date
06/07/2019
Last updated
06/26/2019
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