Individual
LAI SIM WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
5801 152ND AVE SE, BELLEVUE, WA 98006-5332
(512) 743-6401
Mailing address
5801 152ND AVE SE, BELLEVUE, WA 98006-5332
(512) 743-6401
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
35593
TX
183500000X
Pharmacist
Primary
PH 60265058
WA
Other
Enumeration date
07/08/2009
Last updated
08/09/2012
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