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Individual

STUART WONG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
1060 WALNUT GROVE AVE APT B, ROSEMEAD, CA 91770-3773
(626) 318-7139
Mailing address
1060 WALNUT GROVE AVE APT B, ROSEMEAD, CA 91770-3773
(626) 318-7139

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
95001205
CA

Other

Enumeration date
10/09/2019
Last updated
12/10/2021
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