Individual
LARRY WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1230 S CHERRYBELL STRA, TUCSON, AZ 85713-1907
(520) 670-3909
Mailing address
501 S WASHINGTON AVE, SCRANTON, PA 18505-3814
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/14/2019
Last updated
11/21/2022
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