Individual
CHERIE WONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
278 N MAIN ST, THIENSVILLE, WI 53092-1618
(262) 242-3451
Mailing address
278 N MAIN ST, THIENSVILLE, WI 53092-1618
(262) 242-3451
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
11205-040
WI
Other
Enumeration date
01/10/2012
Last updated
01/10/2012
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