Individual
STELLA WONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14300 PIEDRAS RD NE, ALBUQUERQUE, NM 87123-2427
(505) 298-1617
Mailing address
14300 PIEDRAS RD NE, ALBUQUERQUE, NM 87123-2427
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2456
NM
Other
Enumeration date
07/21/2006
Last updated
08/24/2007
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