Provider Demographics
NPI:1962083873
Name:WONG, DONNA NGIT LARN
Entity type:Individual
Prefix:MS
First Name:DONNA
Middle Name:NGIT LARN
Last Name:WONG
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2235B AIMAMA PL
Mailing Address - Street 2:
Mailing Address - City:PEARL CITY
Mailing Address - State:HI
Mailing Address - Zip Code:96782-1328
Mailing Address - Country:US
Mailing Address - Phone:808-782-8969
Mailing Address - Fax:
Practice Address - Street 1:2235B AIMAMA PL
Practice Address - Street 2:
Practice Address - City:PEARL CITY
Practice Address - State:HI
Practice Address - Zip Code:96782-1328
Practice Address - Country:US
Practice Address - Phone:808-782-8969
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-04-21
Last Update Date:2021-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker