Individual
GRACE VERSALES WONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
330 BROOKLINE AVE, BOSTON, MA 02215-5400
(617) 667-7000
Mailing address
39478 ZACATE AVE, FREMONT, CA 94539-3065
(510) 676-0002
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN2323906
MA
Other
Enumeration date
06/09/2025
Last updated
06/10/2025
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