Individual
MICHELLE WONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
932 WARD AVE STE 600, HONOLULU, HI 96814-2193
(808) 535-5555
Mailing address
225 ROBINSON ST, MARTINEZ, CA 94553
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
A110511
CA
207QA0505X
Adult Medicine Physician
Primary
16086
HI
Other
Enumeration date
04/21/2010
Last updated
07/06/2011
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