Individual
DR. REBECCA WONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
NEW MEXICO 371, CROWNPOINT, NM 87313
(505) 786-6344
Mailing address
PO BOX 358, CROWNPOINT, NM 87313-0358
(505) 786-6344
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28RI03539000
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
28RI03539000
PHARMACIST LICENSE
NJ
Enumeration date
01/23/2013
Last updated
01/23/2013
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