Individual
KIMBERLY WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3 ORCHARD VIEW DR, LONDONDERRY, NH 03053-6606
(603) 421-0022
Mailing address
3 ORCHARD VIEW DR, LONDONDERRY, NH 03053-6606
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0903
NH
Other
Enumeration date
07/31/2015
Last updated
07/31/2015
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