Individual
NATHAN WONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3532 MONROE ST, RIVERSIDE, CA 92504-6322
(626) 888-0567
Mailing address
3008 JACQUELINE DR, WEST COVINA, CA 91792-2321
(626) 888-0567
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
CA
Other
Enumeration date
04/08/2025
Last updated
04/08/2025
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