LARISSA WONG

AIEA, HI
NPI1568108074
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: HI  DOSR-560)
Enumeration Date2022-05-08
Last Update Date2023-10-30
Business Address
Miss LARISSA WONG DO
98-1005 MOANALUA RD SPC 3030
AIEA, HI 96701-4735
Phone number: 858-525-2166
Mailing Address
Miss LARISSA WONG DO
98-1005 MOANALUA RD SPC 3030
AIEA, HI 96701-4735
Phone number:
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