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Jenny Wong

Student in an Organized Health Care Education/Training Program in Miami, FL. Individual provider (NPI-1).

NPI number1487948808
StatusActive
Last updated in NPPESJun 2, 2011

Details

NPI
1487948808
Entity type
Individual (NPI-1)
Name
Jenny Wong
Sex
Female
Sole proprietor
Yes
Enumeration date
Jun 2, 2011
Last updated
Jun 2, 2011

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
390200000X Student in an Organized Health Care Education/Training Program––Yes

Practice location

9220 Sunset Dr
Suite 101
Miami, FL 33173-3259

Phone 954-577-7790 · Fax 954-577-7780

Mailing address

8001 Sw 36th St
Suite 9
Davie, FL 33328-1915

Phone 954-577-7790 · Fax 954-577-7780

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