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NPI Code Detail

MEDICARE: MELISSA WONG

MEDICARE: MELISSA WONG
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163W00000XRegistered Nurse0001192864VA

General Provider Information

NPI Number : 1265839872
Entity Type Code : Individual
Provider Name (Legal Business Name) : MELISSA WONG
Provider Business Mailing Address
First Line : 803 W BROAD ST STE 100
Second Line :
City : FALLS CHURCH
State : VA
Zip : 22046-3131
Country : US
Telephone Number : 703-533-3131
Fax Number :
Provider Business Practice Location Address
First Line : 803 W BROAD ST STE 100
Second Line :
City : FALLS CHURCH
State : VA
Zip : 22046-3131
Country : US
Telephone Number : 703-533-3131
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/25/2014
Last Update Date : 11/25/2014

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Directions to “ MELISSA WONG ” Practice Location

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