Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RH0003X | Hematology & Oncology | AP60879562 | WA |
N | 207VX0201X | Gynecologic Oncologist | AP60879562 | WA |
NPI | 1497249932 |
---|---|
Provider Name | Jaycee Siu-Ying Wong |
First Address | Renton, WA 98057-4970 |
Second Address | Renton, WA 98055-5738 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/06/2018 |
Last Update Date | 18/06/2021 |