Wan Wong

NPI #1073053872 in Baldwin Park, California

Provider Information

NPI Number: 1073053872
Entity Type: Individual
Name: Wan Wong
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Enumeration Date: Feb 28, 2017
Last Updated: Feb 28, 2017

Practice Location

Address: 1011 BALDWIN PARK BLVD
City: Baldwin Park
State: California
ZIP Code: 91706-5806
Phone: (626) 851-5552

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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