Individual
ALETHEIA R L WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
9350 W NORTHERN AVE, GLENDALE, AZ 85305-1103
(623) 877-3571
Mailing address
9350 W NORTHERN AVE, GLENDALE, AZ 85305-1103
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1860
AZ
Other
Enumeration date
07/17/2012
Last updated
07/17/2012
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