The holder whose full name is Phuong, Mary Jennifer Yao Ong,come from Fort Wayne IN,hold the Physician license(NO.01057246A) which status is Active.
| Name | Phuong, Mary Jennifer Yao Ong |
|---|---|
| License Number | 01057246A |
| License Type | Physician |
| License Status | Active |
| City | Fort Wayne |
| State | IN |