Individual
KENNETH WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD.
Contact information
Practice address
3160 N RAINBOW BLVD, LAS VEGAS, NV 89108-4533
(702) 658-3870
Mailing address
3160 N RAINBOW BLVD, LAS VEGAS, NV 89108-4533
(702) 658-3870
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
19442
NV
Other
Enumeration date
12/16/2018
Last updated
12/16/2018
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