Individual
LINA WONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4005 HIGH RESORT BLVD SE, RIO RANCHO, NM 87124-5906
(505) 462-6000
Mailing address
813 ACAPULCO RD NE, RIO RANCHO, NM 87144-6474
(505) 994-1547
Taxonomy
Speciality
Code
Description
License number
State
163WP2201X
Ambulatory Care Registered Nurse
Primary
R31949
NM
Other
Enumeration date
05/16/2014
Last updated
05/16/2014
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