Individual
GLENN WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
950 W D ST, ONTARIO, CA 91762-3026
(909) 459-2500
Mailing address
950 W D ST, ONTARIO, CA 91762-3026
(909) 459-2500
Taxonomy
Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
Primary
A4E295C9F9
CA
Other
Enumeration date
09/24/2025
Last updated
09/24/2025
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