Individual
BRANDON WONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
25622 CROWN VALLEY PKWY, LADERA RANCH, CA 92694-0464
(949) 347-6751
Mailing address
2904 CABALLISTA DEL SUR, SAN CLEMENTE, CA 92673-3446
(949) 361-1006
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
67324
CA
Other
Enumeration date
08/20/2016
Last updated
08/20/2016
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