KRISTEN WONG

HAWTHORNE, CA
NPI1477094787
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: CA  95005962)
Enumeration Date2017-03-20
Last Update Date2017-03-20
Business Address
-- KRISTEN WONG
11633 HAWTHORNE BLVD STE 103
HAWTHORNE, CA 90250-2323
Phone number: 310-219-2929
Mailing Address
-- KRISTEN WONG
23092 MAPLE AVE
TORRANCE, CA 90505-2870
Phone number: