Individual
MARY LOUISE WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6717 RITCHIE HWY, GLEN BURNIE, MD 21061-2318
(410) 487-0038
Mailing address
5647 COLUMBIA RD, APT. 304, COLUMBIA, MD 21044-2046
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
22036
MD
Other
Enumeration date
03/05/2014
Last updated
03/05/2014
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