Individual provider · Type 1 NPI

Acquenetta Diane Summers-Wong

Child & Adolescent Psychiatric/Mental Health Registered Nurse · Antioch, CA

NPI number 1487189155 Active

Practice location

55 E 18th St
Antioch, CA 94509-2450

Specialties and licenses

TaxonomyCodeLicense
Child & Adolescent Psychiatric/Mental Health Registered Nurse Primary 163WP0807X95106500 (CA)

Child & Adolescent Psychiatric/Mental Health Registered Nurse: Definition to come...

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About NPI 1487189155

Acquenetta Diane Summers-Wong's National Provider Identifier is 1487189155, issued on May 1, 2017. The primary taxonomy on file is Child & Adolescent Psychiatric/Mental Health Registered Nurse (163WP0807X), and the practice location is in Antioch, CA. The record was last updated on May 1, 2017.