Individual
KAYLA VIRGINIA WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
246 HWY 34, MATAWAN, NJ 07747-2180
(732) 952-3800
Mailing address
9 LESHYK DR, PARLIN, NJ 08859-2181
(917) 837-8982
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
26NJ01201000
NJ
363LF0000X
Family Nurse Practitioner
F347438-01
NY
Other
Enumeration date
11/08/2021
Last updated
11/08/2021
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