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1487189155
ACQUENETTA DIANE SUMMERS-WONG
ANTIOCH, CA
NPI
1487189155
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163WP0807X Registered Nurse, Psych/Mental Health, Child & Adolescent
(Licence: CA 95106500)
Enumeration Date
2017-05-01
Last Update Date
2017-05-01
Business Address
-- ACQUENETTA DIANE SUMMERS-WONG
55 E 18TH ST
ANTIOCH, CA 94509-2450
Phone number: 925-777-1133
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Mailing Address
-- ACQUENETTA DIANE SUMMERS-WONG
55 E 18TH ST
ANTIOCH, CA 94509-2450
Phone number: 925-777-1133
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