| NPI | 1275817744 |
|---|---|
| Former Legal Business Name | TERRY WONG D C LLC |
| Entity Type | Organization |
| Authorized Contact | TERRY L WONG President 702-871-5556 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NV B00691) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: CA 19363) |
| Enumeration Date | 2011-10-03 |
| Last Update Date | 2011-10-03 |