Individual
WHITNEY WONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4200 NELSON RD, LAKE CHARLES, LA 70605-4118
(337) 475-4144
Mailing address
1629 RESERVE DR, WESTLAKE, LA 70669-6619
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
66140
TX
183500000X
Pharmacist
Primary
PST.022874
LA
Other
Enumeration date
03/21/2019
Last updated
11/02/2023
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