Individual
BRYAN H WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
1301 PUNCHBOWL ST, HONOLULU, HI 96813-2402
(808) 538-9011
Mailing address
5333 LIKINI ST, APT 1507, HONOLULU, HI 96818-1762
(808) 428-3470
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
1712
HI
Other
Enumeration date
09/15/2014
Last updated
09/15/2014
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