Individual
GENE KWON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7951 NOLPARK CT, GLEN BURNIE, MD 21061-5205
(410) 969-2389
Mailing address
612 ROBINSON PLACE CT, SEVERNA PARK, MD 21146-2847
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
T14897
MD
Other
Enumeration date
01/31/2015
Last updated
01/31/2015
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