Individual
JOHN DAVID WRONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BA
Contact information
Practice address
11 N MAIN ST, RANDOLPH, VT 05060-1126
(802) 728-4466
(802) 728-4197
Mailing address
PO BOX 381, RANDOLPH, VT 05060-0381
(732) 298-3374
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
02/27/2024
Last updated
06/26/2024
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