MS. Kimberlee Ann Wong, PHARMD

NPI #1790060374 in Manteca, California

Provider Information

NPI Number: 1790060374
Entity Type: Individual
Name: MS. Kimberlee Ann Wong, PHARMD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Credential: PHARMD
Enumeration Date: Oct 14, 2011
Last Updated: Nov 15, 2011

Practice Location

Address: 280 SPRECKELS AVE
Address 2: T-1526
City: Manteca
State: California
ZIP Code: 95336-6005
Phone: (209) 823-9982

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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