Shannon Wong, LMT

NPI #1790164648 in Portland, Maine

Provider Information

NPI Number
1790164648
Entity Type
Individual
Name
Shannon Wong, LMT
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Contractor
Credential
LMT
Enumeration Date
May 26, 2015
Last Updated
May 26, 2015

Practice Location

Address
449 FOREST AVE
State
Maine
ZIP Code
04101-2029
Phone
(207) 329-4386

Specialties & Taxonomy Codes

Specialty
Contractor

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