Individual
JAIME A WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
16-204 MELEKAHIWA PL STE 3, KEAAU, HI 96749-8010
(808) 961-3716
Mailing address
710 GREEN ST, HONOLULU, HI 96813-2119
(808) 536-1015
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
08/05/2019
Last updated
08/05/2019
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