Individual
MS. SAMANTHA HEIN WONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
11201 BENTON ST, LOMA LINDA, CA 92357-1000
(909) 825-7084
Mailing address
25714 MARIPOSA ST, LOMA LINDA, CA 92354-3913
Taxonomy
Speciality
Code
Description
License number
State
286500000X
Military Hospital
Primary
542472/NP15427
CA
Other
Enumeration date
07/27/2006
Last updated
07/08/2007
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