Individual
MRS. TRACY WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4510 SALT LAKE BLVD STE C4, HONOLULU, HI 96818-3171
(808) 486-1804
Mailing address
3616 HERNDON LN, WAHIAWA, HI 96786-3652
(315) 408-4819
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
HI
Other
Enumeration date
12/15/2021
Last updated
12/15/2021
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