Individual
ALLAN WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2651 HIGHLAND AVE, SELMA, CA 93662-3392
(559) 898-6180
(559) 898-6013
Mailing address
2651 HIGHLAND AVE, SELMA, CA 93662-3392
(559) 898-6180
(559) 898-6013
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28703
CA
Other
Enumeration date
03/24/2017
Last updated
03/24/2017
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