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Kristen Wong
Family Nurse Practitioner in Hawthorne, California
NPI 1477094787

Kristen Wong is a Family Nurse Practitioner based in Torrance, CA and is specialized in Family. Kristen Wong practices in Hawthorne, CA. The NPI Number for Kristen Wong is 1477094787 and holds a License No. 95005962 (California).

The current practice location address for Kristen Wong is 11633 Hawthorne Blvd Ste 103, Hawthorne, CA and can be reached out via phone at 310-219-2929.

Location: 11633 Hawthorne Blvd Ste 103, Hawthorne, CA, 90505-2870
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1477094787
Provider Name
Kristen Wong
Credential
Provider Entity Type
Individual
Gender
Female
Address
11633 Hawthorne Blvd Ste 103, Hawthorne, CA, 90505-2870
Phone Number
310-219-2929
Fax Number
Provider Enumeration Date
03/20/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
11633 Hawthorne Blvd Ste 103
City
Hawthorne
State
California
Zip
90250-2323
Phone Number
310-219-2929
Fax Number
person
Provider Business Mailing Address Details
Address
11633 Hawthorne Blvd Ste 103
City
Hawthorne
State
California
Zip
90250-2323
Phone Number
310-219-2929
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
95005962 (California)
Definition
Definition to come...
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