Individual
DR. RENA SOPHIE WONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
17646 1ST AVE S, BURIEN, WA 98148-1729
(206) 248-7282
(206) 248-8143
Mailing address
17646 1ST AVE S, BURIEN, WA 98148-1729
(206) 248-7282
(206) 248-8143
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
MD00034086
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1100239
—
WA
Enumeration date
09/06/2006
Last updated
07/08/2007
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