Individual
JENNIFER PEI WANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
280 1ST ST, HOLLOMAN AFB, NM 88330-8273
(917) 939-3819
Mailing address
280 1ST ST, HOLLOMAN AFB, NM 88330-8273
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28RI03541800
NJ
Other
Enumeration date
11/08/2011
Last updated
11/06/2022
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