Individual
AMY ONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15310 W ELM ST, GOODYEAR, AZ 85395-7728
(623) 332-8354
Mailing address
15310 W ELM ST, GOODYEAR, AZ 85395-7728
(623) 332-8354
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
12/08/2023
Last updated
12/08/2023
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