Individual
BRANDON CHUNG DONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2605 W MARCH LN, STOCKTON, CA 95207-6522
(209) 952-3494
Mailing address
33245 MARTIN STREET, FREMONT, CA 94555
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
81181
CA
Other
Enumeration date
05/11/2020
Last updated
05/11/2020
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