Individual
MAI-PHUONG LE-MASKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
1535 E MORELAND BLVD, WAUKESHA, WI 53186-3929
(262) 896-6767
(262) 896-6794
Mailing address
1535 E MORELAND BLVD, WAUKESHA, WI 53186-3929
(262) 896-6767
(262) 896-6794
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
13694-40
WI
Other
Enumeration date
02/07/2015
Last updated
02/07/2015
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