Roussell Wong, SUDP-T is a student in an organized health care education training program in Seattle, WA. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. Roussell Wong, SUDP-T NPI is 1366023541. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
113 23RD AVE S
SEATTLE, WA
ZIP 98144-309
Phone: (206) 219-5980
The enumeration date for this NPI number is 4/19/2021 and was last updated on 5/10/2021.