person
Acquenetta Diane Summers-wong
Child & Adolescent Psychiatric/Mental Health Registered Nurse in Antioch, California
NPI 1487189155

Acquenetta Diane Summers-wong is a Child & Adolescent Psychiatric/Mental Health Registered Nurse based in Antioch, CA and is specialized in Psychiatric/Mental Health, Child & Adolescent. Acquenetta Diane Summers-wong practices in Antioch, CA. The NPI Number for Acquenetta Diane Summers-wong is 1487189155 and holds a License No. 95106500 (California).

The current practice location address for Acquenetta Diane Summers-wong is 55 E 18Th St, Antioch, CA and can be reached out via phone at 925-777-1133.

Location: 55 E 18Th St, Antioch, CA, 94509-2450
person
Provider Profile Details
NPI Number
1487189155
Provider Name
Acquenetta Diane Summers-wong
Credential
Provider Entity Type
Individual
Gender
Female
Address
55 E 18Th St, Antioch, CA, 94509-2450
Phone Number
925-777-1133
Fax Number
Provider Enumeration Date
05/01/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
55 E 18Th St
City
State
Zip
94509-2450
Phone Number
925-777-1133
Fax Number
person
Provider Business Mailing Address Details
Address
55 E 18Th St
City
State
Zip
94509-2450
Phone Number
925-777-1133
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Psychiatric/Mental Health, Child & Adolescent
Taxonomy
License No.
95106500 (California)
Definition
Definition to come...
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