Individual
CHRISTINE KELLY WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
345 SAXONY RD STE 105, ENCINITAS, CA 92024-2787
(760) 753-7374
Mailing address
PO BOX 42374, PHOENIX, AZ 85080-2374
(518) 681-7532
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
05/15/2019
Last updated
05/15/2019
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