Individual
JENNY WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
9260 W SUNSET RD STE 209, LAS VEGAS, NV 89148-4903
(702) 608-8098
Mailing address
9260 W SUNSET RD STE 209, LAS VEGAS, NV 89148-4903
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1076
NV
Other
Enumeration date
08/03/2020
Last updated
08/03/2020
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