Individual
EMERY WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2921 N GAREY AVE APT 6, POMONA, CA 91767-1843
(909) 392-5997
Mailing address
2921 N GAREY AVE APT 6, POMONA, CA 91767-1843
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA429
CA
Other
Enumeration date
10/17/2016
Last updated
10/17/2016
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