Individual
DARREN M WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
123 MADEIRA DR SE, ALBUQUERQUE, NM 87108-2963
(505) 262-1538
(505) 243-5342
Mailing address
1809 NOTRE DAME DR NE, ALBUQUERQUE, NM 87106-1011
(505) 974-2461
(505) 974-2461
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
72201
NM
Other
Enumeration date
05/28/2026
Last updated
05/28/2026
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