Individual
MARTINA KARUNIA WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, MPH, RD
Contact information
Practice address
6601 220TH ST SW, SUITE 1, MOUNTLAKE TERRACE, WA 98043-2166
(425) 775-7274
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
(630) 296-2222
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
04/29/2016
Last updated
08/15/2016
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