Individual
YUEN LING WONG KONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A-C
Contact information
Practice address
3460 OLD WASHINGTON RD, SUITE 203A, WALDORF, MD 20602-3240
(301) 638-0602
(301) 638-7558
Mailing address
3460 OLD WASHINGTON RD, SUITE 203A, WALDORF, MD 20602-3240
(301) 638-0602
(301) 638-7558
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110-004388
VA
Other
Enumeration date
11/05/2013
Last updated
11/05/2013
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